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NPI Code Detail

MEDICARE: LEAR ENTERPRISES

MEDICARE: LEAR ENTERPRISES
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
1333600000XPharmacy03041NC

Other Identifiers

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

General Provider Information

NPI Number : 1750727335
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEAR ENTERPRISES
Provider Business Mailing Address
First Line : 4390 COLWICK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2310
Country : US
Telephone Number : 704-364-3444
Fax Number : 704-364-1320
Provider Business Practice Location Address
First Line : 4390 COLWICK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-2310
Country : US
Telephone Number : 704-364-3444
Fax Number : 704-364-1320
Authorized Official
Title or Position : OWNER
Name : JEFFREY LEMELIN
Credential : RPH
Telephone Number : 704-364-3444
Provider Enumeration Date : 05/22/2013
Last Update Date : 05/22/2013

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Directions to “LEAR ENTERPRISES ” Practice Location

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