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Individual
LEESA MARIE PRUNTY
Active
Individual
LEESA MARIE PRUNTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS, BCPPS
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03132315
OH
183500000X
Pharmacist
RP0007676
WV
1835P0200X
Pediatric Pharmacist
8150569
OH
1835P1200X
Pharmacotherapy Pharmacist
3121548
OH
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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