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Individual

LUAN P LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
9285 HALLS FERRY RD, JENNINGS, MO 63136-5144
(314) 867-1360
(314) 867-8027
Mailing address
10978 CEDARBERRY PL, SAINT LOUIS, MO 63123-7251
(314) 517-5576
(314) 867-8027

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000154021
MO

Other

Enumeration date
09/19/2011
Last updated
09/19/2011
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