Leah M Mauritz, RPH
Individual provider Active NPI Pharmacist · Fountain Inn, SC
NPI 1902155641 · NPPES record last updated Sep 7, 2012
Key facts
- NPI
- 1902155641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7465 (SC)
- Practice address
- 203 N. Main St.
Fountain Inn, SC 29644 - Phone
- (864) 862-4414
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7465 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7465 | SC | Yes |
Addresses
Primary practice location
203 N. Main St.
Fountain Inn, SC 29644
Mailing address
203 N. Main St.
Fountain Inn, SC 29644
Phone (864) 862-4414
Other providers in Fountain Inn, SC
- Payton Malone
- Mama T Herbs LLC
- Randy L Marg
- Katlyn Marks
- Meredith Marlowe
- Yalianis Mendive
- Timara Nicole Mickens
- Kristen Markham Middlebrooks
- Jessica Brooke Miebach
- Sandra Lee Miles
All providers in Fountain Inn, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2012. 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.