Provider Demographics
NPI:1598047581
Name:LE, STEPHEN VU (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:VU
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 1:3500 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8229
Mailing Address - Country:US
Mailing Address - Phone:504-367-5724
Mailing Address - Fax:504-367-9475
Practice Address - Street 1:3500 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8229
Practice Address - Country:US
Practice Address - Phone:504-367-5724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist