Individual
TAN VIET LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1106 S ROCK RD, DERBY, KS 67037-3989
(316) 788-8356
Mailing address
1106 S ROCK RD, DERBY, KS 67037-3989
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100578
KS
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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