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Organization
LEACH PHARMACIES, LLC
Active
Organization
LEACH PHARMACIES, LLC
Active
Other names
Crestline Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOTT LEACH PHARMD (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 STREET, BIRMINGHAM, AL 35213
(205) 871-0317
(205) 871-9756
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
102890
AL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
11/21/2006
Last updated
02/14/2024
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