Organization
TWELVE BRIDGES PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUYQUANG CHI LE PHARM.D (PRESIDENT)
(916) 415-0722
Entity
Organization
Contact information
Practice address
835 TWELVE BRIDGES DRIVE, SUITE 82, LINCOLN, CA 95648-8817
(916) 409-9500
(916) 409-9400
Mailing address
835 TWELVE BRIDGES DRIVE, SUITE 82, LINCOLN, CA 95648-8817
(916) 409-9500
(916) 409-9400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY48802
CA
Other
Enumeration date
08/31/2007
Last updated
09/12/2008
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