Provider Demographics
NPI:1104942028
Name:STRICKLAND, LEROY HOWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEROY
Middle Name:HOWARD
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 GEORGIA AVE S
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110-4472
Mailing Address - Country:US
Mailing Address - Phone:770-537-2321
Mailing Address - Fax:
Practice Address - Street 1:505 ALABAMA AVE S
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-2007
Practice Address - Country:US
Practice Address - Phone:770-537-2321
Practice Address - Fax:770-537-0602
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018835183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist