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Individual

MR. LOC KHAC LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2858 N PINAL AVE, CASA GRANDE, AZ 85122-7917
(520) 426-4701
Mailing address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 907-4932
(623) 907-4990

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1219
AZ
183500000X
Pharmacist
Primary
S012817
AZ

Other

Enumeration date
01/14/2010
Last updated
11/03/2014
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