Organization
LUU THI LE
Active
Other names
LE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NGUYEN (MANAGER)
(510) 585-5989
Entity
Organization
Contact information
Practice address
392 E SANTA CLARA ST, SAN JOSE, CA 95113-1911
(408) 297-2421
(408) 977-0460
Mailing address
392 E SANTA CLARA ST, SAN JOSE, CA 95113-1911
(408) 297-2421
(408) 977-0460
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY42012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524430
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA410330
—
CA
Enumeration date
07/23/2006
Last updated
09/19/2011
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