Provider Demographics
NPI:1326320250
Name:LE, HENRY WILLIAM (PHARMD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:WILLIAM
Last Name:LE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:874 WINDSOR HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-2482
Mailing Address - Country:US
Mailing Address - Phone:408-224-7431
Mailing Address - Fax:408-848-6941
Practice Address - Street 1:874 WINDSOR HILLS CIR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2482
Practice Address - Country:US
Practice Address - Phone:408-224-7431
Practice Address - Fax:408-848-6941
Is Sole Proprietor?:No
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53908183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist