Provider Demographics
NPI:1972825404
Name:JAMES, LEON CHERONNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:CHERONNE
Last Name:JAMES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13479 DEVAN LEE DR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-5884
Mailing Address - Country:US
Mailing Address - Phone:904-476-5570
Mailing Address - Fax:904-696-9916
Practice Address - Street 1:2075 US HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-6000
Practice Address - Country:US
Practice Address - Phone:904-829-5240
Practice Address - Fax:904-824-3390
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43088183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist