Provider Demographics
NPI:1912160474
Name:ROEHRICH, LENEIKA (RPH, PHARMD)
Entity Type:Individual
Prefix:
First Name:LENEIKA
Middle Name:
Last Name:ROEHRICH
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E BOULEVARD AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58505-0250
Mailing Address - Country:US
Mailing Address - Phone:701-328-4032
Mailing Address - Fax:701-328-1544
Practice Address - Street 1:600 E BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58505
Practice Address - Country:US
Practice Address - Phone:701-328-4032
Practice Address - Fax:701-328-1544
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN119240183500000X
ND5179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist