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MR. ROBERT WILLIAM LEECH PD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1912004821

Individual Registrant:
MR. ROBERT WILLIAM LEECH PD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
109 DREW ST  STAR CITY, AR 71667 US
Tel: 870-628-4263  Fax: --

Contact information for business:
PO BOX 479  STAR CITY, AR 71667 US
Tel: 870-628-4263  Fax: 870-628-4926

Registration Information:
NPI: 1912004821
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AR5555

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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