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Individual

BAO-NGOC LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
220 N 3RD ST, OAKLAND, MD 21550-1326
(301) 334-8182
Mailing address
7412 CHATHAM ST, SPRINGFIELD, VA 22151-3117
(703) 887-9672

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202216371
VA
183500000X
Pharmacist
Primary
25692
MD

Other

Enumeration date
11/15/2018
Last updated
11/15/2018
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