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Mike Leahan, RPH
NPI 1013353994 · on the registry since 2013
Practice
- Address
- 822 Park Ave
Beaver Dam, WI 53916 - Phone
- (920) 887-7511
- Fax
- (920) 887-0725
- Organisation at this address
- Shopko Stores Operating Co Llc
Shopko Stores Operating Co. LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin