Individual
LESLIE RAQUEL LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
402 RICHMOND RD N, BEREA, KY 40403-1133
(859) 986-4521
Mailing address
509 FARMINGTON CT, RICHMOND, KY 40475-2272
(859) 576-3652
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012332
KY
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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