Provider Demographics
NPI:1225341936
Name:KNOESPEL, LEANNE RUTH (RPH)
Entity Type:Individual
Prefix:MS
First Name:LEANNE
Middle Name:RUTH
Last Name:KNOESPEL
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 1:15426 PRESTON PASS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5134
Mailing Address - Country:US
Mailing Address - Phone:210-404-1511
Mailing Address - Fax:
Practice Address - Street 1:20935 N HWY 281
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7587
Practice Address - Country:US
Practice Address - Phone:210-491-2450
Practice Address - Fax:210-494-1490
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist