Han Le, PHARMD
Individual provider Active NPI Pharmacist · Polacca, AZ
NPI 1255013926 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1255013926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- P10823 (ID)
- Practice address
- Highway 264 Mile Post 388
Polacca, AZ 86042 - Phone
- (928) 737-6206
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P10823 | ID | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10823 | ID | Yes |
Addresses
Primary practice location
Highway 264 Mile Post 388
Polacca, AZ 86042
Mailing address
392 State Route 264
PO Box 847
Polacca, AZ 86042-9997
Phone (757) 876-2697
Other providers in Polacca, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.