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NPI Code Detail

MEDICARE: BIANCA S LEROY

MEDICARE:   BIANCA S LEROY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist036023GA

General Provider Information

NPI Number : 1093669616
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIANCA S LEROY
Provider Business Mailing Address
First Line : 546 BANKHEAD HWY
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-2463
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 546 BANKHEAD HWY
Second Line :
City : CARROLLTON
State : GA
Zip : 30117-2463
Country : US
Telephone Number : 770-834-1091
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2026
Last Update Date : 02/21/2026

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Directions to “ BIANCA S LEROY ” Practice Location

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