Individual
NAM VIET LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
106 39TH AVENUE DR NW, HICKORY, NC 28601-9037
(828) 514-2075
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30616
NC BOP
NC
Enumeration date
07/22/2021
Last updated
07/22/2021
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