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NPI Code Detail

MEDICARE: DR. LUKAS PERRY LEITNAKER PHARMD

MEDICARE: DR. LUKAS PERRY LEITNAKER 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
1183500000XPharmacist03227913OH

General Provider Information

NPI Number : 1144483546
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUKAS PERRY LEITNAKER PHARMD
Provider Business Mailing Address
First Line : 5800 W BROAD ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-9531
Country : US
Telephone Number : 614-870-4354
Fax Number :
Provider Business Practice Location Address
First Line : 5800 W BROAD ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-9531
Country : US
Telephone Number : 614-870-4354
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 07/21/2022

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Directions to “ DR. LUKAS PERRY LEITNAKER PHARMD” Practice Location

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