MEDICARE: LEAH LIMPERT 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	34931	TX

General Provider Information

NPI Number	:	1568756567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH LIMPERT RPH

Provider Business Mailing Address
First Line	:	1206 ARBORS CIR
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5400
Country	:	US
Telephone Number	:	817-800-1002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 E BROAD ST
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-5629
Country	:	US
Telephone Number	:	817-435-5418
Fax Number	:

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	01/28/2020

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