Healthcare Provider Details

I. General information

NPI: 1285915744
Provider Name (Legal Business Name): LEAH CANADY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HILLCREST PKWY
DUBLIN GA
31021-4366
US

IV. Provider business mailing address

1903 SCENIC HWY N
SNELLVILLE GA
30078
US

V. Phone/Fax

Practice location:
  • Phone: 478-277-3085
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH020396
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: