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NPI Code Detail

MEDICARE: LELAND PHARMACY LLC

MEDICARE: LELAND PHARMACY LLC
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
13336C0003XCommunity/Retail Pharmacy28070TX

General Provider Information

NPI Number : 1386907756
Entity Type Code : Organization
Provider Name (Legal Business Name) : LELAND PHARMACY LLC
Provider Business Mailing Address
First Line : 5412 FARMER ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4720
Country : US
Telephone Number : 713-673-8000
Fax Number :
Provider Business Practice Location Address
First Line : 5412 FARMER ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-4720
Country : US
Telephone Number : 713-673-8000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOHN KYLES
Credential :
Telephone Number : 713-673-8000
Provider Enumeration Date : 06/20/2012
Last Update Date : 06/20/2012

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Directions to “LELAND PHARMACY LLC ” Practice Location

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