Provider Demographics
NPI:1932932746
Name:FABRE, LEAH NICOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:NICOLE
Last Name:FABRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3025
Mailing Address - Country:US
Mailing Address - Phone:713-319-4618
Mailing Address - Fax:
Practice Address - Street 1:1019 TENNYSON DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3025
Practice Address - Country:US
Practice Address - Phone:713-319-4618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74592183500000X
CA89782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist