Individual
MR. JEREMY I LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1025 E HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
(573) 783-6008
Mailing address
1025 E HIGHWAY 72 BYP, FREDERICKTOWN, MO 63645-7326
(573) 783-6000
(573) 783-6008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2005002685
MO
Other
Enumeration date
06/15/2013
Last updated
06/15/2013
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