Healthcare Provider Details

I. General information

NPI: 1699693051
Provider Name (Legal Business Name): LEANNE MICHELLE WILLIAMS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4623 WESLEY AVE STE N
CINCINNATI OH
45212-2272
US

IV. Provider business mailing address

4623 WESLEY AVE STE N
CINCINNATI OH
45212-2272
US

V. Phone/Fax

Practice location:
  • Phone: 513-569-6071
  • Fax: 833-347-5635
Mailing address:
  • Phone: 513-569-6071
  • Fax: 833-347-5635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03439713
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03439713
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: