Individual
MS. LESLIE JOANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
515 N 12TH ST, MIDDLESBORO, KY 40965-1131
(606) 248-2098
(606) 248-0539
Mailing address
PO BOX 52, HARROGATE, TN 37752-0052
(423) 869-4936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5452
TN
183500000X
Pharmacist
9502
KY
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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