Provider Demographics
NPI:1528772803
Name:LEIGHTON, EMMA-LEE (CPHT)
Entity type:Individual
Prefix:
First Name:EMMA-LEE
Middle Name:
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1460
Mailing Address - Street 2:
Mailing Address - City:KALAMA
Mailing Address - State:WA
Mailing Address - Zip Code:98625-1300
Mailing Address - Country:US
Mailing Address - Phone:360-957-9540
Mailing Address - Fax:
Practice Address - Street 1:364 TRIANGLE SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4651
Practice Address - Country:US
Practice Address - Phone:360-423-4833
Practice Address - Fax:360-636-0901
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician