Individual
MYKIM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 POPLAR ST, TERRE HAUTE, IN 47807-3725
(812) 233-1316
Mailing address
905 POPLAR ST, TERRE HAUTE, IN 47807-3725
(812) 232-1316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029547A
IN
Other
Enumeration date
11/21/2021
Last updated
11/29/2021
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