Organization
LEYOS INC
Active
Other names
LEYOS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH LEYO R.PH. (CEO/VP)
(814) 672-5387
Entity
Organization
Contact information
Practice address
1564 MAIN STREET, COALPORT, PA 16627-0397
(814) 672-5387
(814) 672-3039
Mailing address
PO BOX 397, 1564 MAIN ST, COALPORT, PA 16627-0397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412953L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000880506001
—
PA
01
—
2083818
PK
—
Enumeration date
04/07/2006
Last updated
10/26/2016
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