Individual
MRS. LESLIE JANN TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
126 MISSOURI AVE, GLWACH PHARMACY, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0515
(573) 596-0405
Mailing address
126 MISSOURI AVE, GLWACH PHARMACY, FORT LEONARD WOOD, MO 65473-8952
(573) 596-0515
(573) 596-0405
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041925
MO
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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