MEDICARE: DR. JOSHUA LEIGHR PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	2001032920	MO

General Provider Information

NPI Number	:	1013239383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA LEIGHR PHARMD

Provider Business Mailing Address
First Line	:	2001 W KANSAS ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1961
Country	:	US
Telephone Number	:	816-781-6177
Fax Number	:	816-792-0830

Provider Business Practice Location Address
First Line	:	2001 W KANSAS ST
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1961
Country	:	US
Telephone Number	:	816-781-6177
Fax Number	:	816-792-0830

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

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