Individual
BAO-TRAM T. LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
730 MARKET ST, PHILADELPHIA, PA 19106-2312
(215) 627-6433
Mailing address
730 MARKET ST, PHILADELPHIA, PA 19106-2312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044042L
PA
Other
Enumeration date
05/03/2011
Last updated
06/08/2011
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