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Individual
ERIC WYATT LEISHMAN
Active
Individual
ERIC WYATT LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016103
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
7343428-1701
UT
Other
Enumeration date
09/13/2018
Last updated
07/23/2019
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