Provider Demographics
NPI:1740318161
Name:LE, KATHERINE THU (PHARMD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:THU
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6131 ORANGETHORPE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4902
Mailing Address - Country:US
Mailing Address - Phone:714-676-2252
Mailing Address - Fax:714-443-4465
Practice Address - Street 1:11525 BROOKSHIRE AVE STE 400
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4982
Practice Address - Country:US
Practice Address - Phone:714-676-2252
Practice Address - Fax:714-443-4465
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA57903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist