Individual
ANH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2706 JACKSBORO HWY, FORT WORTH, TX 76114-1945
(817) 626-8255
Mailing address
2706 JACKSBORO HWY, FORT WORTH, TX 76114-1945
(817) 626-8255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63859
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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