Individual
DEREK LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 CROSSROADS DR, PLOVER, WI 54467-4124
(715) 345-7870
Mailing address
250 CROSSROADS DR, PLOVER, WI 54467-4124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13466-40
WI
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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