Provider Demographics
NPI:1568534931
Name:QUACH, KIEN LE (PHARMACIST)
Entity Type:Individual
Prefix:DR
First Name:KIEN
Middle Name:LE
Last Name:QUACH
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17330 W GRAND PKWY S
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2567
Mailing Address - Country:US
Mailing Address - Phone:281-633-0124
Mailing Address - Fax:281-633-0156
Practice Address - Street 1:17330 WEST GRAND PARKWAY SOUTH
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3744
Practice Address - Country:US
Practice Address - Phone:281-633-0124
Practice Address - Fax:281-633-0156
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42060183500000X
CARPH58869183500000X
FLPS37511183500000X
NY049280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist