Individual
TERESA LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH.
Contact information
Practice address
400 UNIVERSITY DR STE 100, PRESTONSBURG, KY 41653-1080
(606) 886-1202
Mailing address
601 N ARNOLD AVE, PRESTONSBURG, KY 41653-1258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7843
KY
Other
Enumeration date
02/10/2007
Last updated
07/08/2007
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