Provider Demographics
NPI:1598089781
Name:LE, JASMINE TRANG (PHARMD)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:TRANG
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 S HAVANA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1618
Mailing Address - Country:US
Mailing Address - Phone:303-338-4501
Mailing Address - Fax:303-338-4422
Practice Address - Street 1:2500 S. HAVANA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-0911
Practice Address - Country:US
Practice Address - Phone:303-338-4501
Practice Address - Fax:303-338-4422
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO178841835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy