Healthcare Provider Details

I. General information

NPI: 1235779372
Provider Name (Legal Business Name): LEEANNE MOBAYED PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 PITTSBURGH RD # 2
UNIONTOWN PA
15401-2200
US

IV. Provider business mailing address

627 PITTSBURGH RD # 2
UNIONTOWN PA
15401-2200
US

V. Phone/Fax

Practice location:
  • Phone: 724-439-4990
  • Fax:
Mailing address:
  • Phone: 724-439-4990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03337987
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03337987
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: