Leo Walter Fields, PHARMD Valid NPI
Individual provider · Pharmacist · Pooler, GA
- NPI
- 1215548250
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- RPH032253 (GA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-13
Practice location
101 Blue Moon Xing
Pooler, GA 31322-9797
(912) 348-6027