Provider Demographics
NPI:1710370432
Name:LEONARD, SARAH (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:LEONARD
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 1:5610 N GATES AVE
Mailing Address - Street 2:APT 219
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-6270
Mailing Address - Country:US
Mailing Address - Phone:515-418-3778
Mailing Address - Fax:
Practice Address - Street 1:3150 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3215
Practice Address - Country:US
Practice Address - Phone:559-276-8926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA72272OtherCA PHARMACY LICENSE NUMBER