Individual
RICK LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
200 MAPLEWOOD AVE, GREENBRIER MEDICAL ARTS PHARMACY, RONCEVERTE, WV 24970-1334
(304) 647-5121
(304) 647-5122
Mailing address
200 MAPLEWOOD AVE, GREENBRIER MEDICAL ARTS PHARMACY, RONCEVERTE, WV 24970
(304) 647-5121
(304) 647-5122
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005462
WV
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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