Provider Demographics
NPI:1336755172
Name:O'DOWD, LEIGH ANN PERRI (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:LEIGH ANN
Middle Name:PERRI
Last Name:O'DOWD
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 SUMMER CT
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-5179
Mailing Address - Country:US
Mailing Address - Phone:706-340-0501
Mailing Address - Fax:
Practice Address - Street 1:1260 S MILLEDGE AVE APT F-1
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-1477
Practice Address - Country:US
Practice Address - Phone:706-543-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH029557183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist