Provider Demographics
NPI:1962472308
Name:LE PHARMACY CORPORATION
Entity Type:Organization
Organization Name:LE PHARMACY CORPORATION
Other - Org Name:COASTAL CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/SECRETARY/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIE NGOC
Authorized Official - Middle Name:HONG
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:714-965-5203
Mailing Address - Street 1:19582 BEACH BLVD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2996
Mailing Address - Country:US
Mailing Address - Phone:714-965-5203
Mailing Address - Fax:714-965-5257
Practice Address - Street 1:19582 BEACH BLVD
Practice Address - Street 2:SUITE 118
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2996
Practice Address - Country:US
Practice Address - Phone:714-965-5203
Practice Address - Fax:714-965-5257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-26
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58233OtherBOARD OF PHARMACY