MEDICARE: MR. LEON E ANTHONY III RPH

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	RPH011573	GA

General Provider Information

NPI Number	:	1326103722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEON E ANTHONY III RPH

Provider Business Mailing Address
First Line	:	707 WOODBINE DR
Second Line	:
City	:	SANDERSVILLE
State	:	GA
Zip	:	31082-8526
Country	:	US
Telephone Number	:	478-552-5429
Fax Number	:	478-552-6119

Provider Business Practice Location Address
First Line	:	528 SPARTA RD
Second Line	:
City	:	SANDERSVILLE
State	:	GA
Zip	:	31082-1859
Country	:	US
Telephone Number	:	478-552-6114
Fax Number	:	478-552-6119

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	02/08/2026

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