Provider Demographics
NPI:1538449251
Name:RATLIFF, LEIGH ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEIGH ANN
Middle Name:
Last Name:RATLIFF
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 1:42082 MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-8411
Mailing Address - Country:US
Mailing Address - Phone:951-927-3217
Mailing Address - Fax:
Practice Address - Street 1:1811 S SAN JACINTO AVE
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-5605
Practice Address - Country:US
Practice Address - Phone:951-487-6185
Practice Address - Fax:951-487-9694
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA38733183500000X
NV8823183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist