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Individual

MR. ROBERT KENNINGTON LEEDHAM JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
777 HIGHLAND AVE, MADISON, WI 53705-2222
(608) 262-4723
(608) 262-5262
Mailing address
777 HIGHLAND AVE, MADISON, WI 53705-2222
(608) 262-4723
(608) 262-5262

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E - 06676
MS

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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