Provider Demographics
NPI:1790453157
Name:LE, DONG CHINH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DONG
Middle Name:CHINH
Last Name:LE
Suffix:
Gender:M
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 1:1061 COCHRANE RD
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-9305
Mailing Address - Country:US
Mailing Address - Phone:408-310-4051
Mailing Address - Fax:
Practice Address - Street 1:1061 COCHRANE RD
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-9305
Practice Address - Country:US
Practice Address - Phone:408-310-4051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-01
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84487183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist