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NPI Code Detail

MEDICARE: MRS. LESLIE JOHNSTON

MEDICARE: MRS. LESLIE JOHNSTON
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
1183500000XPharmacist50307TX

General Provider Information

NPI Number : 1568827137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE JOHNSTON
Provider Business Mailing Address
First Line : 14100 SPRING CYPRESS RD
Second Line :
City : CYPRESS
State : TX
Zip : 77429-6286
Country : US
Telephone Number : 281-376-2428
Fax Number : 281-320-3783
Provider Business Practice Location Address
First Line : 14100 SPRING CYPRESS RD
Second Line :
City : CYPRESS
State : TX
Zip : 77429-6286
Country : US
Telephone Number : 281-376-2428
Fax Number : 281-320-3783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2015
Last Update Date : 12/23/2015

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Directions to “ MRS. LESLIE JOHNSTON ” Practice Location

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