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General NPI Number Information
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NPI Number | 1255537064
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Entity Type | Organization
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Legal Business Name | LESLIE DRUGS INC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 105 HWY 62 EAST
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City | SALEM
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State | AR
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Zip | 72576-0218
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Country | US
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Telephone | 870-895-2681
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Fax | 870-895-2833
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Provider Business Mailing Address
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Address Line | PO BOX 218 105 HWY 62 EAST
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City | SALEM
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State | AR
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Zip | 72576-0218
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Country | US
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Telephone | 870-895-2681
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Fax | 870-895-2833
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIM D LESLIE
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Credential | RPH
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Telephone | 870-895-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | AR05945
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License Number State | AR
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