Healthcare Provider Details

I. General information

NPI: 1679407191
Provider Name (Legal Business Name): LEANNA KAY MOORLAND PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVE
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4542
  • Fax: 513-636-7407
Mailing address:
  • Phone: 513-636-4542
  • Fax: 513-636-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835S0206X
TaxonomySolid Organ Transplant Pharmacist
License Number03234005
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: