Individual
LEIGH LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PHARMACY T
Contact information
Practice address
50 CR 709, BLUE MOUNTAIN, MS 38610
(469) 713-4776
Mailing address
50 CR 709, BLUE MOUNTAIN, MS 38610
(469) 713-4776
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
129142
TX
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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