Provider Demographics
NPI:1811021272
Name:DON, LEONARD WATT (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:WATT
Last Name:DON
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 W AVENIDA DE LAS AMERICAS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-2065
Mailing Address - Country:US
Mailing Address - Phone:520-297-2925
Mailing Address - Fax:
Practice Address - Street 1:9100 N SILVERBELL RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-8172
Practice Address - Country:US
Practice Address - Phone:520-579-8826
Practice Address - Fax:520-579-8935
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS04850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist