Provider Demographics
NPI:1891155131
Name:LEFKOE, ELEK
Entity Type:Individual
Prefix:
First Name:ELEK
Middle Name:
Last Name:LEFKOE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 DEKALB ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4906
Mailing Address - Country:US
Mailing Address - Phone:610-272-0637
Mailing Address - Fax:610-272-1373
Practice Address - Street 1:328 DEKALB ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-4906
Practice Address - Country:US
Practice Address - Phone:610-272-0637
Practice Address - Fax:610-272-1373
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP024985L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist