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Individual

NEIL LEIKACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6350 FREDERICK RD, BALTIMORE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Mailing address
6350 FREDERICK RD, BALTIMORE, MD 21228-2375
(410) 744-5959
(410) 744-4810

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12817
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
058F
MASS IMMUNIZER
MD
05
098001300
MD
05
559900800
MD
Enumeration date
06/16/2006
Last updated
03/20/2009
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