Organization
PETER LEON INC
Active
Other names
TESMAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LEON (OWNER AND PHARMACIST)
(215) 747-8917
Entity
Organization
Contact information
Practice address
257 N 52ND ST, PHILADELPHIA, PA 19139-1502
(215) 747-8917
(215) 747-8918
Mailing address
257 N 52ND ST, PHILADELPHIA, PA 19139-1502
(215) 747-8917
(215) 747-8918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412540L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005699320001
—
PA
01
—
3912070
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2007
Last updated
08/11/2011
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