Malarie Brooke Leonard, PHARM.D.
Individual provider Active NPI Pharmacist · Huntingdon, TN
NPI 1720328024 · NPPES record last updated Mar 21, 2013
Key facts
- NPI
- 1720328024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 36592 (TN)
- Practice address
- 630 RB Wilson Dr
Huntingdon, TN 38344-1726 - Phone
- (731) 986-2228
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12529 | MS | MD | Specialist |
| 17135 | AL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Drug Company, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36592 | TN | Yes |
| Pharmacist | 183500000X | 12529 | MS | |
| Pharmacist | 183500000X | 17135 | AL |
Addresses
Primary practice location
630 RB Wilson Dr
Huntingdon, TN 38344-1726
Mailing address
630 RB Wilson Dr
Huntingdon, TN 38344
Phone (731) 986-2228
Other providers in Huntingdon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.