Individual
JEREMY LEE LECKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1378
Mailing address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017996
AZ
Other
Enumeration date
10/27/2011
Last updated
11/07/2023
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