Individual
LEROY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2443
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2443
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
64469
CA
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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