Provider Demographics
NPI:1063790814
Name:LEIGHTON, GREGORY JOSEPH JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JOSEPH
Last Name:LEIGHTON
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 PARK AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1026
Mailing Address - Country:US
Mailing Address - Phone:973-564-8004
Mailing Address - Fax:973-564-8010
Practice Address - Street 1:200 PARK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1026
Practice Address - Country:US
Practice Address - Phone:973-564-8004
Practice Address - Fax:973-564-8010
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055756183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist