Provider Demographics
NPI:1417441908
Name:LELIGDOWICZ, JONATHAN BUD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:BUD
Last Name:LELIGDOWICZ
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 1:1955 E JOPPA RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-2773
Mailing Address - Country:US
Mailing Address - Phone:410-665-5120
Mailing Address - Fax:410-668-6626
Practice Address - Street 1:1955 E JOPPA RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-2773
Practice Address - Country:US
Practice Address - Phone:410-665-5120
Practice Address - Fax:410-668-6626
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23390183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist