Provider Demographics
NPI:1558643890
Name:TRIBBLE, LEAH VOSBURGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:VOSBURGH
Last Name:TRIBBLE
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 1:9125 NW 39TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7372
Mailing Address - Country:US
Mailing Address - Phone:352-378-3282
Mailing Address - Fax:352-378-9129
Practice Address - Street 1:9125 NW 39TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7372
Practice Address - Country:US
Practice Address - Phone:352-378-3282
Practice Address - Fax:352-378-9129
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS32803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist