Provider Demographics
NPI:1073031225
Name:LE, DIEU HUYEN THI (PHARM D)
Entity Type:Individual
Prefix:
First Name:DIEU HUYEN
Middle Name:THI
Last Name:LE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:DIEU HUYEN
Other - Middle Name:THI
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:20311 GRANDE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928
Mailing Address - Country:US
Mailing Address - Phone:239-495-9013
Mailing Address - Fax:
Practice Address - Street 1:20311 GRANDE OAK BLVD
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:239-495-9013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist