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1336732163
PHONG TAN LE
SACRAMENTO, CA
NPI
1336732163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 84016)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
PHONG TAN LE Rph
4949 TIMBERCREEK WAY
SACRAMENTO, CA 95841-2260
Phone number: 916-531-4967
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Mailing Address
PHONG TAN LE Rph
4949 TIMBERCREEK WAY
SACRAMENTO, CA 95841-2260
Phone number: 916-531-4967
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