Individual ProviderEthan Cuong LePharmacistPharmacy Service ProvidersPractice Address1520 Brundage Ln, Bakersfield, CA 93304-2949(661) 327-4265(714) 588-9590PECOS EnrollmentBased on the most recent information from CMS, provider Ethan Cuong Le does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1508753690Provider TypeIndividualFull NameLe, Ethan CuongGenderMaleSole ProprietorNoEnumeration Date6/20/2025Last Updated6/20/2025Contact InformationPractice LocationPractice Address1520 Brundage Ln, Bakersfield, CA 93304-2949Phone(661) 327-4265FaxUnlisted FaxMailing LocationMailing Address2240 W Lincoln Ave Apt 110, Anaheim, CA 92801-6529Phone(714) 588-9590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense90880California