NPI 1003250747

Leiter's Enterprises, INC. Dba Leiter's Compounding Pharmacy

Organisation Compounding Pharmacy San Jose, CA

Practice location

Address: 17 Great Oaks Blvd, San Jose, CA 95119-1359
Phone: (408) 292-6772
Fax: (408) 288-8252
Mailing address: 1700 Park Ave STE 30, San Jose, CA 95126-2034

Authorised official

Name: Charles Wolfe Leiter
Title: Owner, Pharmacist in Charge
Phone: (408) 292-6772

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X

Other Pharmacy providers in California →

Registry record

NPI: 1003250747
Entity type: Organization
NPI issued: 24 Apr 2013
Record last updated: 24 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.