Healthcare Provider Details

I. General information

NPI: 1568396794
Provider Name (Legal Business Name): DR. MARK LESHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2391
US

IV. Provider business mailing address

500 UNIVERSITY DR
HERSHEY PA
17033-2391
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-0003
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP442862
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: