Most Relevant Information
Provider Data
| NPI Number: | 1003199118 |
| Provider Name: | JENNY-ANH PHUONG LE PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302038580 |
Most Important Dates
| Enumeration Date: | 09/25/2011 |
| Last Updated: | 09/25/2011 |
Provider Practice Location
1710 W JOHN BEERS RD
STEVENSVILLE
MI
491279409
Practice Location Phone/Fax
| Phone: | 2694291153 |
| Fax: |
Provider Mailing Location
3061 WINDSOR DR
SAINT JOSEPH
MI
490859485
Provider Mailing Phone/Fax
| Phone: | 2694293964 |
| Fax: |