Individual
DR. DAVID KEITH LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
679 W WASHINGTON ST, MONTICELLO, GA 31064-1371
(706) 468-6836
(706) 468-1973
Mailing address
PO BOX 435, MONTICELLO, GA 31064-0435
(706) 468-6836
(706) 468-1973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH016517
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032271
—
GA
Enumeration date
07/20/2019
Last updated
07/20/2019
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