NPI 1003023565

Leo a Montambeault, PHARMD

Practitioner Pharmacist Gulfport, FL

Practice location

Address: 1839 58th St S, Gulfport, FL 33707-4154
Phone: (603) 279-8779
Mailing address: PO Box 6642, Laconia, NH 03247-6642

Registered specialties (4)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS39669 (FL)

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Registry record

NPI: 1003023565
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2007
Record last updated: 8 Jul 2007

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.