Organization
WALGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LAMAR LESLIE PHARM.D. (PHARMACY MANAGER)
(678) 472-2971
Entity
Organization
Contact information
Practice address
390 S MAIN ST, SWAINSBORO, GA 30401-3666
(478) 237-0788
Mailing address
390 S MAIN ST, SWAINSBORO, GA 30401-3666
(478) 237-0788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
RPH027064
GA
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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