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NPI Code Detail

MEDICARE: MISS TERESINA ENRICHETTA LEO RPH

MEDICARE:  MISS TERESINA ENRICHETTA LEO  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
1183500000XPharmacist18675IA

General Provider Information

NPI Number : 1336352434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TERESINA ENRICHETTA LEO RPH
Provider Business Mailing Address
First Line : 3728 SW 12TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50315-3078
Country : US
Telephone Number : 515-243-4612
Fax Number :
Provider Business Practice Location Address
First Line : 4343 MERLE HAY RD
Second Line :
City : DES MOINES
State : IA
Zip : 50310-1411
Country : US
Telephone Number : 515-276-4845
Fax Number : 515-331-3163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ MISS TERESINA ENRICHETTA LEO RPH” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.