Individual
LESLIE MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
516 W 30TH ST, CONNERSVILLE, IN 47331-2502
(765) 825-5222
Mailing address
8143 LOVERS LANE RD, CEDAR GROVE, IN 47016-9711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03225280
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26021044A
IN
Other
Enumeration date
02/19/2015
Last updated
12/09/2019
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