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Organization
LEACH PHARMACIES, LLC
Active
Organization
LEACH PHARMACIES, LLC
Active
Parent organization
LEACH PHARMACIES, LLC
Other names
Crestline Pharmacy LTC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEACH PHARMACIES, LLC
Authorized official
MATTHEW SCOTT LEACH (OWNER)
(205) 871-0317
Entity
Organization
Contact information
Practice address
60 CHURCH ST, MOUNTAIN BRK, AL 35213-3794
(205) 871-0317
(205) 871-9756
Mailing address
60 CHURCH ST, MOUNTAIN BRK, AL 35213-3794
(205) 871-0317
(205) 871-9756
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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