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Individual

MRS. QUYNH NHU PHAM LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1215 141ST ST, PERRY, IA 50220-8127
(515) 465-3543
(515) 465-9467
Mailing address
829 S BALSAM ST, WEST DES MOINES, IA 50266-8902
(712) 574-9013

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23364
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1314
IA
Enumeration date
04/12/2020
Last updated
04/12/2020
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