Provider Demographics
NPI:1669710026
Name:LE, CATHERINE V (RPH)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:V
Last Name:LE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 ALAFAYA TRL STE 148
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9430
Mailing Address - Country:US
Mailing Address - Phone:407-366-9720
Mailing Address - Fax:
Practice Address - Street 1:4250 ALAFAYA TRL STE 148
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9430
Practice Address - Country:US
Practice Address - Phone:407-366-9720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist