Provider Demographics
NPI:1184655102
Name:LEOS, CARA LYN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:LYN
Last Name:LEOS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 STANFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-8104
Mailing Address - Country:US
Mailing Address - Phone:334-707-1271
Mailing Address - Fax:
Practice Address - Street 1:2000 PEPPERELL PARKWAY
Practice Address - Street 2:EAST ALABAMA MEDICAL CENTER
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801
Practice Address - Country:US
Practice Address - Phone:334-707-1271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP000065851835P1200X
GARPH0229481835P1200X
AL151741835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy