Individual
THIENTRAN N LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3289
(203) 503-3108
Mailing address
428 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3289
(203) 503-3108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011011
CT
183500000X
Pharmacist
PH00065106
WA
Other
Enumeration date
12/11/2006
Last updated
10/02/2008
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