Provider Demographics
NPI:1922322379
Name:CHAU, THAM THI LE (PHARMD,)
Entity Type:Individual
Prefix:DR
First Name:THAM
Middle Name:THI LE
Last Name:CHAU
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 1:9947 CHARIDEN DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-0363
Mailing Address - Country:US
Mailing Address - Phone:901-267-4673
Mailing Address - Fax:
Practice Address - Street 1:1640 CENTURY CENTER PKWY STE 101
Practice Address - Street 2:1620 CENTURY CENTER PARWAY
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8822
Practice Address - Country:US
Practice Address - Phone:901-385-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist