Provider Demographics
NPI:1497192884
Name:LEATHER, SASKIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SASKIA
Middle Name:
Last Name:LEATHER
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 1:9300 DEWITT LP
Mailing Address - Street 2:EAGLE PAVILION - CARDIOLOGY
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-5001
Mailing Address - Country:US
Mailing Address - Phone:571-231-2008
Mailing Address - Fax:571-231-6612
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:EAGLE-
Practice Address - City:FT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-2206
Practice Address - Country:US
Practice Address - Phone:571-231-2008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-27
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3149183500000X
FLPS375701835P2201X
FLPS-375701835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care