Provider Demographics
NPI:1205543691
Name:LE, HOA THI XUAN (RPH)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:THI XUAN
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 1:7300 W NORTH AVE APT 4L
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4247
Mailing Address - Country:US
Mailing Address - Phone:978-602-5577
Mailing Address - Fax:
Practice Address - Street 1:2360 W INDIAN TRL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1570
Practice Address - Country:US
Practice Address - Phone:630-907-2041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.305180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist