Individual
NICHOLAS JAMES LEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
320 SW CENTURY DR, BEND, OR 97702-3037
(541) 389-7184
Mailing address
320 SW CENTURY DR, BEND, OR 97702-3037
(541) 389-7184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014855
OR
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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