Individual
BOBBY TAI LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 COMMONS DR, MAUMELLE, AR 72113-7266
(501) 803-3274
Mailing address
16 DEERWOOD DR, CONWAY, AR 72034-6113
(870) 834-6193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16217
AR
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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