Provider Demographics
NPI:1548560154
Name:LE, MAIKHANH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:MAIKHANH
Middle Name:
Last Name:LE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 W CHANDLER BLVD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5202
Mailing Address - Country:US
Mailing Address - Phone:480-726-7775
Mailing Address - Fax:480-726-9956
Practice Address - Street 1:1159 W CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5202
Practice Address - Country:US
Practice Address - Phone:480-726-7775
Practice Address - Fax:480-726-9956
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist