MEDICARE: HARRY D LESEUR

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PHY44251	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2034708	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558463968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRY D LESEUR

Provider Business Mailing Address
First Line	:	PO BOX 827
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020-0827
Country	:	US
Telephone Number	:	530-258-2261
Fax Number	:	530-258-1999

Provider Business Practice Location Address
First Line	:	271 MAIN ST., STE A, #827
Second Line	:
City	:	CHESTER
State	:	CA
Zip	:	96020-0827
Country	:	US
Telephone Number	:	530-258-2261
Fax Number	:	530-258-1999

Authorized Official
Title or Position	:	OWNER
Name	:	HARRY LESEUR
Credential	:	PHARM D
Telephone Number	:	530-258-2261

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	04/19/2017

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Directions to “HARRY D LESEUR ” Practice Location

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