Provider Demographics
NPI:1336369065
Name:LE, CURT T (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:T
Last Name:LE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SEACLIFF WAY
Mailing Address - Street 2:
Mailing Address - City:POINT RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4156
Mailing Address - Country:US
Mailing Address - Phone:510-233-3980
Mailing Address - Fax:
Practice Address - Street 1:206 SEACLIFF WAY
Practice Address - Street 2:
Practice Address - City:POINT RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-4156
Practice Address - Country:US
Practice Address - Phone:510-233-3980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist