Healthcare Provider Details

I. General information

NPI: 1730656729
Provider Name (Legal Business Name): LESLIE ESPARAGOZA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2018
Last Update Date: 10/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 S GLENBURNIE RD
NEW BERN NC
28562-5228
US

IV. Provider business mailing address

423 EISSEL ST
NEW BERN NC
28562-2639
US

V. Phone/Fax

Practice location:
  • Phone: 252-637-9537
  • Fax: 252-637-9086
Mailing address:
  • Phone: 704-315-7611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28048
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: