Individual
TUYET LE HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REG PHARMACIST
Contact information
Practice address
301 FISHER ST, STE 109, KEESLER AFB, MS 39534-2508
(228) 377-3049
Mailing address
301 FISHER ST, STE 109, KEESLER AFB, MS 39534-2508
(228) 377-3049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5302027266
MI
183500000X
Pharmacist
Primary
T08737
MS
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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