Provider Demographics
NPI:1861024762
Name:LEONIDA, RALPH (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:
Last Name:LEONIDA
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25651 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1793
Mailing Address - Country:US
Mailing Address - Phone:281-713-9447
Mailing Address - Fax:281-973-5087
Practice Address - Street 1:25651 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1793
Practice Address - Country:US
Practice Address - Phone:281-713-9447
Practice Address - Fax:281-973-5087
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX570241835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist