Provider Demographics
NPI:1538462643
Name:SEDON, LEONARD CHARLES JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:CHARLES
Last Name:SEDON
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CHARLIE
Other - Middle Name:
Other - Last Name:SEDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3107 FEN WAY CT
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3107 FEN WAY CT
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7979
Practice Address - Country:US
Practice Address - Phone:330-892-8453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46363183500000X
OHRPH.03230388-2183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist