Provider Demographics
NPI:1538379615
Name:DONOHUE, LEANNE MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:MARIE
Last Name:DONOHUE
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 1:301 ROUTE 20A
Mailing Address - Street 2:
Mailing Address - City:STRYKERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14145-9544
Mailing Address - Country:US
Mailing Address - Phone:585-805-0322
Mailing Address - Fax:
Practice Address - Street 1:40 GARDENVILLE PKWY W
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1387
Practice Address - Country:US
Practice Address - Phone:716-675-3784
Practice Address - Fax:716-675-7777
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048705-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist