Most Relevant Information
Provider Data
| NPI Number: | 1003460270 |
| Provider Name: | JONATHAN LE PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 065526 |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
622 W 168TH ST
NEW YORK
NY
100323720
Practice Location Phone/Fax
| Phone: | 2123428645 |
| Fax: |
Provider Mailing Location
622 W 168TH ST
NEW YORK
NY
100323720
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |