Individual
MR. JOSE M LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7258
Mailing address
1082 RIVERSHYRE DR, EVANS, GA 30809-5210
(706) 868-6049
(706) 868-8446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPHO16611
GA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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