Provider Demographics
NPI:1568687713
Name:LEONARD, RICHARD E (RPH)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:LEONARD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:NEW DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03855-2317
Mailing Address - Country:US
Mailing Address - Phone:603-859-1022
Mailing Address - Fax:
Practice Address - Street 1:51 MILLER RD
Practice Address - Street 2:
Practice Address - City:NEW DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03855-2317
Practice Address - Country:US
Practice Address - Phone:603-859-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1966183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist