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NPI Code Detail

MEDICARE: DR. LESHAY NICOLE WESSON PHARM.D.

MEDICARE: DR. LESHAY NICOLE WESSON PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist20858NC

General Provider Information

NPI Number : 1285955344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LESHAY NICOLE WESSON PHARM.D.
Provider Business Mailing Address
First Line : 3300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-7624
Country : US
Telephone Number : 910-822-4965
Fax Number : 910-822-5877
Provider Business Practice Location Address
First Line : 3300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-7624
Country : US
Telephone Number : 910-822-4965
Fax Number : 910-822-5877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2010
Last Update Date : 06/11/2010

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