Healthcare Provider Details

I. General information

NPI: 1801750716
Provider Name (Legal Business Name): SUSAN LECLAIR RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 E MAIN ST STE 160
CARRBORO NC
27510-1866
US

IV. Provider business mailing address

1117 HUNTSMAN DR
DURHAM NC
27713-2370
US

V. Phone/Fax

Practice location:
  • Phone: 919-240-7827
  • Fax:
Mailing address:
  • Phone: 919-306-2512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12196
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: