NPI 1366048092

Phuong Le, RPH

Practitioner Pharmacist Port Lavaca, TX

Practice location

Address: 325 South Highway 35 By Pass, Port Lavaca, TX 77979
Phone: (361) 552-7486

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 55664 (TX)

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Registry record

NPI: 1366048092
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2020
Record last updated: 8 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.