Individual
DR. LESLIE GIBBS WALTHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER DEPT OF PHARMACY, 9040 FITZSIMMONS DR, TACOMA, WA 98431-0001
(253) 596-7623
Mailing address
6948 14TH CT SE, LACEY, WA 98503-2406
(253) 596-7623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15151
MD
Other
Enumeration date
03/14/2006
Last updated
09/18/2008
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