Individual
DR. SAMUEL NATHAN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
105 HEARTHSTONE DR, GRAY COURT, SC 29645
(864) 360-3697
Mailing address
18 GREEN HILL DR, SIMPSONVILLE, SC 29681-4148
(864) 360-3697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14181
SC
Other
Enumeration date
07/12/2013
Last updated
09/30/2022
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