Individual
DR. MICHELLE AMY LEADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50631 BIRKDALE CT, GRANGER, IN 46530-6640
(574) 217-2067
Mailing address
50631 BIRKDALE CT, GRANGER, IN 46530-6640
(574) 217-2067
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022326A
IN
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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