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MR. ROBERT WILLIAM LEECH PD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1912004821
Individual Registrant:MR. ROBERT WILLIAM LEECH PD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
109 DREW ST STAR CITY, AR 71667 US
Tel: 870-628-4263 Fax: --
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
Tel: 870-628-4263 Fax: 870-628-4926
Registration Information:
NPI: 1912004821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | 5555 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
