Provider Demographics
NPI:1811029333
Name:ROSS, LEIGH ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:ANN
Last Name:ROSS
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 1:231 WINGED FOOT CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-2530
Mailing Address - Country:US
Mailing Address - Phone:601-977-0739
Mailing Address - Fax:202-224-9450
Practice Address - Street 1:305 C ST NE
Practice Address - Street 2:#410
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5748
Practice Address - Country:US
Practice Address - Phone:202-224-6926
Practice Address - Fax:202-224-9450
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-090761835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy