Individual
MR. PHI LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
4103 PECANLAND MALL DR, T-1469, MONROE, LA 71203-7009
(318) 388-3474
(318) 388-3474
Mailing address
4103 PECANLAND MALL DR, T-1469, MONROE, LA 71203-7009
(318) 388-3474
(318) 388-3474
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18457
LA
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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