Individual
COLBY DUC KHANH LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4420 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3414
(405) 632-3742
(405) 632-6730
Mailing address
4229 KENSINGTON DR, MOORE, OK 73160-4811
(405) 694-1796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19814
OK
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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