Organization
LEACH PHARMACIES, LLC
Active
Other names
Crestline Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOTT LEACH PHARMD (OWNER)
(205) 871-0317
Entity
Organization
Contact information
Practice address
60 CHURCH ST, MOUNTAIN BRK, AL 35213-3794
(205) 871-0317
(205) 871-9756
Mailing address
60 CHURCH STREET, BIRMINGHAM, AL 35213
(205) 871-0317
(205) 871-9756
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
102890
AL
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
02/14/2024
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