Individual
AMY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1718 W JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1802
(816) 637-2537
Mailing address
2301 ARBOR LN, EXCELSIOR SPRINGS, MO 64024-3044
(816) 809-8234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH044179
MO
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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