Individual
NGOC TIEU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
941 CERRITO DR, GALLUP, NM 87301-5421
(703) 628-5265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202216073
VA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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