Most Relevant Information
Provider Data
| NPI Number: | 1003370099 |
| Provider Name: | ANNA HANGTHANH LY |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 80194 |
Most Important Dates
| Enumeration Date: | 01/24/2019 |
| Last Updated: | 01/24/2019 |
Provider Practice Location
211 W BIRCH ST
CALEXICO
CA
922312348
Practice Location Phone/Fax
| Phone: | 7607683169 |
| Fax: |
Provider Mailing Location
7434 MESA COLLEGE DR APT 15
SAN DIEGO
CA
921114924
Provider Mailing Phone/Fax
| Phone: | 8588880768 |
| Fax: |