Provider Demographics
NPI:1922186071
Name:LEONARD DRUGS INC
Entity Type:Organization
Organization Name:LEONARD DRUGS INC
Other - Org Name:THE DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-821-4493
Mailing Address - Street 1:464 N DEAN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5148
Mailing Address - Country:US
Mailing Address - Phone:334-821-4493
Mailing Address - Fax:334-821-4496
Practice Address - Street 1:464 N DEAN RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5148
Practice Address - Country:US
Practice Address - Phone:334-821-4493
Practice Address - Fax:334-821-4496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
AL1118713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1991237OtherPK
AL100003222Medicaid
4015310001Medicare NSC