Individual
DR. LESLIE SUMMERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2001 HR ASHBAUGH DR, TRUTH OR CONSEQUENCES, NM 87901
(575) 894-0645
(575) 894-0651
Mailing address
2001 HR ASHBAUGH DR, TRUTH OR CONSEQUENCES, NM 87901
(575) 894-0645
(575) 894-0651
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP7218
NM
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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