Organization
LEITERS ENTERPRISES INC
Active
Other names
LEI Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HOKE PHARM.D. (PRESIDENT/CEO)
(408) 292-6772
Entity
Organization
Contact information
Practice address
6541 VIA DEL ORO STE B, SAN JOSE, CA 95119-1207
(408) 326-1530
(408) 824-1368
Mailing address
6541 VIA DEL ORO STE B, SAN JOSE, CA 95119-1207
(408) 326-1530
(408) 824-1368
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY54652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159846
PK
—
Enumeration date
05/09/2016
Last updated
07/19/2018
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