# LTC LEONARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESCRIPTION SUPPLY INC
- **Other names:** LTC Welcome Michigan Center, LTC LEONARD LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356960983
- **Legal business name:** PRESCRIPTION SUPPLY INC
- **Authorized official:** CHRISTOPHER M SCHOEN (VP)
- **Authorized official phone:** (616) 214-8011

## Contact information

- **Practice address:** 4646 PAGE AVE, MICHIGAN CENTER, MI 49254-1042
- **Practice address phone:** (419) 654-1973
- **Practice address fax:** (616) 554-9581
- **Mailing address:** 2233 TRACY RD STE B, NORTHWOOD, OH 43619-1302
- **Mailing address phone:** (616) 214-8011
- **Mailing address fax:** (616) 554-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020
