Individual
HAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
HIGHWAY 264 MILE POST 388, POLACCA, AZ 86042
(928) 737-6206
Mailing address
392 STATE ROUTE 264, PO BOX 847, POLACCA, AZ 86042-9997
(757) 876-2697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10823
ID
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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