Provider Demographics
NPI:1245410802
Name:LEPPO, ELLEN PATRICIA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:PATRICIA
Last Name:LEPPO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 WESTBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9644
Mailing Address - Country:US
Mailing Address - Phone:614-534-0400
Mailing Address - Fax:614-534-0440
Practice Address - Street 1:2305 WESTBROOKE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9644
Practice Address - Country:US
Practice Address - Phone:614-534-0400
Practice Address - Fax:614-534-0440
Is Sole Proprietor?:No
Enumeration Date:2007-11-11
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03227849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist