Provider Demographics
NPI:1265601538
Name:LEONARDS PHARMACY, INC
Entity type:Organization
Organization Name:LEONARDS PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MS
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURRENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-714-4707
Mailing Address - Street 1:701 SCURRY ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-2722
Mailing Address - Country:US
Mailing Address - Phone:432-714-4707
Mailing Address - Fax:432-714-4709
Practice Address - Street 1:701 SCURRY ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-2722
Practice Address - Country:US
Practice Address - Phone:432-714-4707
Practice Address - Fax:432-714-4709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00959333600000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1588658488OtherNPPES