Provider Demographics
NPI:1871929273
Name:BEYER, LEIGH ANN (RPH)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:BEYER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E LAYTON AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ST FRANCIS
Mailing Address - State:WI
Mailing Address - Zip Code:53235-6053
Mailing Address - Country:US
Mailing Address - Phone:414-483-3800
Mailing Address - Fax:414-483-1283
Practice Address - Street 1:2000 E LAYTON AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:ST FRANCIS
Practice Address - State:WI
Practice Address - Zip Code:53235-6053
Practice Address - Country:US
Practice Address - Phone:414-483-3800
Practice Address - Fax:414-483-1283
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI113338-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist