Individual
HUNG M LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
4925 SOUTHWEST AVE, SAINT LOUIS, MO 63110-3425
(314) 773-5818
Mailing address
3321 WALWORTH WAY DR, SAINT LOUIS, MO 63129-1689
(314) 416-0161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000160044
MO
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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