Provider Demographics
NPI:1750602892
Name:LEONG, DAVID C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:LEONG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 MONTGOMERY HWY
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1812
Mailing Address - Country:US
Mailing Address - Phone:205-979-2180
Mailing Address - Fax:
Practice Address - Street 1:708 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1812
Practice Address - Country:US
Practice Address - Phone:205-979-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14054183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist