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NPI Code Detail

MEDICARE: MAGGIE CHIEU LY

MEDICARE: MAGGIE CHIEU LY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist34920TX

General Provider Information

NPI Number : 1912235755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE CHIEU LY
Provider Business Mailing Address
First Line : 1088 WEST MAIN ST.
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573
Country : US
Telephone Number : 281-332-3445
Fax Number : 281-332-3482
Provider Business Practice Location Address
First Line : 1088 W MAIN ST
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2022
Country : US
Telephone Number : 281-332-3445
Fax Number : 281-332-3482
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2009
Last Update Date : 12/04/2009

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Directions to “ MAGGIE CHIEU LY ” Practice Location

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