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NPI Code Detail

MEDICARE: MR. LEONARD ZIMMERMAN R.PH.

MEDICARE:  MR. LEONARD  ZIMMERMAN  R.PH.
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
1183500000XPharmacist032883NY

General Provider Information

NPI Number : 1538491121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEONARD ZIMMERMAN R.PH.
Provider Business Mailing Address
First Line : 3161 BAINBRIDGE AVE
Second Line : LESELL PHARMACY
City : BRONX
State : NY
Zip : 10467-3907
Country : US
Telephone Number : 718-547-8888
Fax Number : 718-405-1877
Provider Business Practice Location Address
First Line : 3161 BAINBRIDGE AVE
Second Line : LESELL PHARMACY
City : BRONX
State : NY
Zip : 10467-3907
Country : US
Telephone Number : 718-547-8888
Fax Number : 718-405-1877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2010
Last Update Date : 02/05/2010

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Directions to “ MR. LEONARD ZIMMERMAN R.PH.” Practice Location

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