Provider Demographics
NPI:1598235913
Name:LELAND DRUG COMPANY, INC
Entity Type:Organization
Organization Name:LELAND DRUG COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-887-4135
Mailing Address - Street 1:903 HIGHWAY 82 E BLDG G
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-2325
Mailing Address - Country:US
Mailing Address - Phone:662-887-4135
Mailing Address - Fax:662-887-9703
Practice Address - Street 1:311 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:MS
Practice Address - Zip Code:38756-2738
Practice Address - Country:US
Practice Address - Phone:662-887-4135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy