Individual
ERIC WYATT LEISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4565
Mailing address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016103
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
7343428-1701
UT
Other
Enumeration date
09/13/2018
Last updated
07/23/2019
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