Dillon James Kenneth Leisure, RPH

NPI #1811596950 in Stanton, Kentucky

Provider Information

NPI Number: 1811596950
Entity Type: Individual
Name: Dillon James Kenneth Leisure, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 20, 2020
Last Updated: Oct 20, 2020

Practice Location

Address: 179 W COLLEGE AVE
City: Stanton
State: Kentucky
ZIP Code: 40380-2227
Phone: (606) 663-2663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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