Individual
MRS. LESLIE JEAN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4920 CLOVER PINE DR, GREENVILLE, IN 47124-9536
(812) 207-6599
Mailing address
4920 CLOVER PINE DR, GREENVILLE, IN 47124-9536
(812) 207-6599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018704A
IN
Other
Enumeration date
09/26/2011
Last updated
12/30/2013
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