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General NPI Number Information
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NPI Number | 1053425397
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Entity Type | Organization
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Legal Business Name | LEONARDS PHARMACY, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 W 11TH PL STE 106
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City | BIG SPRING
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State | TX
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Zip | 79720-4122
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Country | US
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Telephone | 432-267-1611
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Fax | 432-267-4237
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Provider Business Mailing Address
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Address Line | 1501 W 11TH PL STE 106
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City | BIG SPRING
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State | TX
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Zip | 79720-4122
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Country | US
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Telephone | 432-267-1611
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Fax | 432-267-4237
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. DON C FINKENBINDER
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Credential | R.PH.
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Telephone | 432-267-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 00959
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License Number State | TX
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