Tuyet Le Ha, REG PHARMACIST

Individual provider Active NPI Pharmacist · Keesler Afb, MS

NPI 1629217708 · NPPES record last updated Feb 12, 2009

Key facts

NPI
1629217708
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
T08737 (MS)
Practice address
301 Fisher St
Ste 109
Keesler Afb, MS 39534-2508
Phone
(228) 377-3049
NPI assigned
Feb 12, 2009
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

State licenses

LicenseStateTypeSpecialty
5302027266MIMDPharmacist
T08737MSMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X T08737 MS Yes
Pharmacist 183500000X 5302027266 MI

Addresses

Primary practice location

301 Fisher St
Ste 109
Keesler Afb, MS 39534-2508

Mailing address

301 Fisher St
Ste 109
Keesler Afb, MS 39534-2508
Phone (228) 377-3049

Other providers in Keesler Afb, MS

All providers in Keesler Afb, MS · Pharmacist in Mississippi

Sources for this page

Verify at the official NPI Registry.