Individual
DIANE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5692
(757) 426-6973
Mailing address
1615 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5692
(757) 426-6973
(757) 426-6976
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
0202006305
VA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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