Organization
LEONARDS PHARMACY INC
Active
Other names
PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCLELLAN (PRESIDENT/CEO)
(432) 267-2546
Entity
Organization
Contact information
Practice address
1000 S MAIN ST, BIG SPRING, TX 79720-2949
(432) 267-2546
(432) 267-7217
Mailing address
1000 S MAIN ST, BIG SPRING, TX 79720-2949
(432) 267-2546
(432) 267-7217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1291
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110255
—
TX
01
—
2093625
PK
—
Enumeration date
09/08/2005
Last updated
04/06/2015
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