Organization
LTCARERX CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DEANN LEYES R.PH. C.G.P. (PRESIDENT OWNER PHARMACIST)
(612) 618-1389
Entity
Organization
Contact information
Practice address
15430 FRANCES LN NW, MILTONA, MN 56354-8320
(612) 618-1389
Mailing address
15430 FRANCES LN NW, MILTONA, MN 56354-8320
(612) 618-1389
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
116251
MN
3336S0011X
Specialty Pharmacy
116251
MN
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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