Dinh Le | Travis Afb, CA • PECOS Search

Dinh Le

Pharmacist

Pharmacy Service Providers

60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1809

PECOS Enrollment

Based on the most recent information from CMS, provider Dinh Le does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:10 AM.

Profile Details

Provider ID
1215575642
Provider Type
Individual
Full Name
Le, Dinh
Gender
Male

Sole Proprietor
No
Enumeration Date
12/16/2019
Last Updated
5/24/2024

Contact Information

Practice Location

60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1809

Unlisted Fax

Mailing Location

60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1809

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RPH81728 California