Provider Demographics
NPI:1336421874
Name:LEAHY, RAYMOND SEAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:SEAN
Last Name:LEAHY
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 STREET RD
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2413
Mailing Address - Country:US
Mailing Address - Phone:215-491-0728
Mailing Address - Fax:215-491-1789
Practice Address - Street 1:2060 STREET RD
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2413
Practice Address - Country:US
Practice Address - Phone:215-491-0728
Practice Address - Fax:215-491-1789
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP046260L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist