Individual
DR. LESLIE SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11343 S 96TH ST, PAPILLION, NE 68046-4280
(402) 408-0761
Mailing address
11343 S 96TH ST, PAPILLION, NE 68046-4280
(402) 408-0761
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14541
NE
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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