Individual
THUY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 HIGHWAY 98 BYP, COLUMBIA, MS 39429-9190
(601) 736-0368
(601) 736-6977
Mailing address
1028 HIGHWAY 98 BYP, COLUMBIA, MS 39429-9190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010569
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06403239
—
MS
Enumeration date
12/05/2011
Last updated
12/05/2011
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