Individual
JASON B LEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
601 W 11TH ST, COFFEYVILLE, KS 67337-5025
(620) 251-1620
(620) 251-4730
Mailing address
601 W 11TH ST, COFFEYVILLE, KS 67337-5025
(620) 251-1620
(620) 251-4730
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-12872
KS
Other
Enumeration date
04/01/2016
Last updated
02/04/2021
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