Provider Demographics
NPI:1326037060
Name:LEACH, DONALD B (PHARMD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:B
Last Name:LEACH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 9TH ST NE
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4438
Mailing Address - Country:US
Mailing Address - Phone:509-630-6087
Mailing Address - Fax:509-662-6815
Practice Address - Street 1:823 N MILLER ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2046
Practice Address - Country:US
Practice Address - Phone:509-662-6781
Practice Address - Fax:509-662-6815
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist