| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHANNON LEIK | 1053938191 | 2020-07-05 |
Shannon Leik is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053938191. Registration indicates Shannon Leik is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Shannon Leik PHARM.D. |
| Practice Office Address | 150 TRI COUNTY PKWY CINCINNATI, OH US |
| Practice Office Telephone | 5137823384 |
| Mailing Address | 6897 GREELEY AVE DAYTON, OH 454241792 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 4506 Brandt Pike | Dayton, OH 454246083 | 9372338930 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 03439613
OH |