Provider Demographics
NPI:1336348564
Name:ST.LEDGER, LEANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:
Last Name:ST.LEDGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 NORTHSIDE DR
Mailing Address - Street 2:#409
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4120
Mailing Address - Country:US
Mailing Address - Phone:850-294-4671
Mailing Address - Fax:
Practice Address - Street 1:3312 NORTHSIDE DR
Practice Address - Street 2:#409
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040
Practice Address - Country:US
Practice Address - Phone:850-294-4671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist