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NPI Code Detail

MEDICARE: LESLIE GODSEY

MEDICARE: LESLIE GODSEY
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
1183500000XPharmacist03228018OH

General Provider Information

NPI Number : 1982207239
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE GODSEY
Provider Business Mailing Address
First Line : 947 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-504-8739
Fax Number :
Provider Business Practice Location Address
First Line : 947 CINCINNATI BATAVIA PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-1303
Country : US
Telephone Number : 513-943-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ LESLIE GODSEY ” Practice Location

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