Individual
ANH THI PHUONG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 UNSER BLVD SE, RIO RANCHO, NM 87124-8712
(505) 962-9239
Mailing address
2301 ACADEMIC PL SE, ALBUQUERQUE, NM 87106-4163
(505) 652-8588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00009563
NM
333600000X
Pharmacy
RP00009563
NM
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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