Individual
KATHERINE MARIE LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
305 E BROWN RD, MESA, AZ 85201-3505
(430) 833-2986
Mailing address
140 E CHELSEA LN, GILBERT, AZ 85295-6274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021902
AZ
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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