Healthcare Provider Details

I. General information

NPI: 1487936076
Provider Name (Legal Business Name): KARI LEECH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E MCMURRAY RD
MC MURRAY PA
15317-2928
US

IV. Provider business mailing address

100 E MCMURRAY RD
MC MURRAY PA
15317-2928
US

V. Phone/Fax

Practice location:
  • Phone: 724-949-1583
  • Fax: 724-949-1589
Mailing address:
  • Phone: 724-949-1583
  • Fax: 724-949-1589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP444063
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: