Individual
MICHAEL LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2091 NE 3RD ST, PRINEVILLE, OR 97754-8130
(541) 447-0395
Mailing address
2091 NE 3RD ST, PRINEVILLE, OR 97754-8130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0005279
OR
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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