Most Relevant Information
Provider Data
| NPI Number: | 1003575796 |
| Provider Name: | KATIE LE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 103876171701 |
Most Important Dates
| Enumeration Date: | 12/10/2021 |
| Last Updated: | 12/10/2021 |
Provider Practice Location
11328 SJ GATEWAY
SOUTH JORDAN
UT
84095
Practice Location Phone/Fax
| Phone: | 8015532270 |
| Fax: |
Provider Mailing Location
3798 W SONNE CT APL L104
HERRIMAN
UT
84096
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |