Tracy Le

NPI #1417419839 in Peridot, Arizona

Provider Information

NPI Number: 1417419839
Entity Type: Individual
Name: Tracy Le
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Apr 3, 2019
Last Updated: Apr 3, 2019

Practice Location

Address: 103 MEDICINE WAY RD
City: Peridot
State: Arizona
ZIP Code: 85542-5000
Phone: (928) 475-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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