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Consollar Leeds Azenui

Pharmacist in La Plata, MD. Individual provider (NPI-1).

NPI number1124631346
StatusActive
Last updated in NPPESAug 27, 2020

Details

NPI
1124631346
Entity type
Individual (NPI-1)
Name
Consollar Leeds Azenui
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2020
Certification date
Aug 27, 2020
Last updated
Aug 27, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist24001MDYes

Practice location

60 Shining Willow Way
La Plata, MD 20646-4224

Phone 301-934-5910

Mailing address

2709 Zeek Ln
Lanham, MD 20706-1400

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in La Plata, MD

All 30 Pharmacist providers in La Plata · All 631 providers in La Plata

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