MEDICARE: LEEANNE MOBAYED 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	03337987	OH
2	1835P2201X	Ambulatory Care Pharmacist	03337987	OH

General Provider Information

NPI Number	:	1235779372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEEANNE MOBAYED PHARMD

Provider Business Mailing Address
First Line	:	627 PITTSBURGH RD # 2
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-2200
Country	:	US
Telephone Number	:	724-439-4990
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 PITTSBURGH RD # 2
Second Line	:
City	:	UNIONTOWN
State	:	PA
Zip	:	15401-2200
Country	:	US
Telephone Number	:	724-439-4990
Fax Number	:

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

Provider Enumeration Date	:	01/07/2020
Last Update Date	:	07/06/2022

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