Provider Demographics
NPI:1922095330
Name:BURCHFIELD, LEIGH E (RPH)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:E
Last Name:BURCHFIELD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 ELK ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1231
Mailing Address - Country:US
Mailing Address - Phone:814-432-7300
Mailing Address - Fax:
Practice Address - Street 1:22631 ROUTE 68
Practice Address - Street 2:SUITE 250
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-4068
Practice Address - Country:US
Practice Address - Phone:814-226-6664
Practice Address - Fax:814-226-5417
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042398L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist