Individual
TAM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PLEASANT HILL DR, CAMDEN, DE 19934-4324
(302) 465-5052
Mailing address
27 PLEASANT HILL DR, CAMDEN, DE 19934-4324
(302) 465-5052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202204458
VA
183500000X
Pharmacist
15842
MD
183500000X
Pharmacist
Primary
A1-0003440
DE
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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