Provider Demographics
NPI:1538438486
Name:WEISHAAR, LEO JOSEPH (RPH)
Entity type:Individual
Prefix:MR
First Name:LEO
Middle Name:JOSEPH
Last Name:WEISHAAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 SE 42ND TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66609-1657
Mailing Address - Country:US
Mailing Address - Phone:785-267-7440
Mailing Address - Fax:
Practice Address - Street 1:3696 SW TOPEKA BLVD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2373
Practice Address - Country:US
Practice Address - Phone:785-266-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-08991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist