MEDICARE: LEENA LAFORTE PHARM.D.

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
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	28RI03222700	NJ

General Provider Information

NPI Number	:	1235364506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEENA LAFORTE PHARM.D.

Provider Business Mailing Address
First Line	:	1414 MULFORD RD
Second Line	:
City	:	GRANDVIEW HEIGHTS
State	:	OH
Zip	:	43212-3403
Country	:	US
Telephone Number	:	914-588-7409
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 MULFORD RD
Second Line	:
City	:	GRANDVIEW HEIGHTS
State	:	OH
Zip	:	43212-3403
Country	:	US
Telephone Number	:	914-588-7409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	06/05/2024

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Directions to “ LEENA LAFORTE PHARM.D.” Practice Location

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