Individual
LARRY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1935 N POWER RD, MESA, AZ 85205-3728
(480) 985-3658
Mailing address
1935 N POWER RD, MESA, AZ 85205-3728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022044
AZ
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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