Provider Demographics
NPI:1821181629
Name:LEONARD, JAMIE L (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:L
Last Name:LEONARD
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 1:13848 HWY 200
Mailing Address - Street 2:
Mailing Address - City:SUN RIVER
Mailing Address - State:MT
Mailing Address - Zip Code:59483
Mailing Address - Country:US
Mailing Address - Phone:406-264-5158
Mailing Address - Fax:
Practice Address - Street 1:20 3RD ST N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3188
Practice Address - Country:US
Practice Address - Phone:406-454-2399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3472183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy