Organization
LEM4, LTD
Active
Other names
FISHERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN LEIBFREID PHARM D (OWNER/PIC)
(814) 623-5512
Entity
Organization
Contact information
Practice address
654 EAST PITT ST, BEDFORD, PA 15522
(814) 623-5512
(814) 623-0606
Mailing address
PO BOX 346, BEDFORD, PA 15522-0346
(814) 623-5512
(814) 623-0606
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410773L
PA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016125940003
—
PA
01
—
2081008
PK
—
Enumeration date
06/16/2005
Last updated
08/28/2025
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