Provider Demographics
NPI:1336479567
Name:LEONOW, CHAD M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:M
Last Name:LEONOW
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 1:4827 E GREENWAY RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-1685
Mailing Address - Country:US
Mailing Address - Phone:602-996-3707
Mailing Address - Fax:602-996-7561
Practice Address - Street 1:4827 E GREENWAY RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1685
Practice Address - Country:US
Practice Address - Phone:602-996-3707
Practice Address - Fax:602-996-7561
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist