Sam Leake LLC
NPI #1427786680 in Gray Court, South Carolina
Provider Information
- NPI Number
- 1427786680
- Entity Type
- Organization
- Organization Name
- Sam Leake LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Nov 25, 2022
Practice Location
- Address
- 105 HEARTHSTONE DR
- City
- Gray Court
- State
- South Carolina
- ZIP Code
- 29645
- Phone
- (864) 360-3697
Authorized Official
- Name
- DR. SAMUEL NATHAN LEAKE, PHARM.D.
- Title
- OWNER
- Phone
- (864) 360-3697
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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