Leath Pharmacy
LBN: Leath & Leath Inc
Leath Pharmacy is an health care organization with primary practice located at 1727 Okeechobee Rd , Fort Pierce FL 34950-3945. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Leath & Leath Inc can be contacted via phone (772) 461-6330, or through Leath, Mark Cornelius via phone (772) 461-6330.
Contact Information
Primary practice address
1727 Okeechobee Rd
Fort Pierce FL 34950-3945
Phone: (772) 461-6330
Fax: (772) 461-1798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PH9856 | Florida |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH9856 | Florida |
Profile Details
| NPI number | 1902982622 |
|---|---|
| LBN Legal business name | Leath & Leath Inc |
| DBA Doing business as | Leath Pharmacy |
| Authorized official | Leath, Mark Cornelius PHARMD. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jan 23rd, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902982622 | NPPES |
| Florida | MEDICAID | 109697400 |
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