MEDICARE: DR. LESLI HALLMAN TOMLIN PHARM.D., R.PH.

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
1	183500000X	Pharmacist	40117	TX

General Provider Information

NPI Number	:	1578565941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLI HALLMAN TOMLIN PHARM.D., R.PH.

Provider Business Mailing Address
First Line	:	997 W I-20
Second Line	:
City	:	COLORADO CITY
State	:	TX
Zip	:	79512-8756
Country	:	US
Telephone Number	:	328-728-3431
Fax Number	:

Provider Business Practice Location Address
First Line	:	997 WEST I-20
Second Line	:
City	:	COLORADO CITY
State	:	TX
Zip	:	79512
Country	:	US
Telephone Number	:	325-728-3431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	08/30/2022

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