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NPI Code Detail

MEDICARE: MRS. LESLIE ELIAS CHENEY R.PH.

MEDICARE: MRS. LESLIE ELIAS CHENEY 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
1183500000XPharmacist14543AL

General Provider Information

NPI Number : 1780874420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE ELIAS CHENEY R.PH.
Provider Business Mailing Address
First Line : 569 LAKE COLONY DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-7409
Country : US
Telephone Number : 205-967-3006
Fax Number : 205-967-3006
Provider Business Practice Location Address
First Line : 1936 OLD ORCHARD ROAD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35216-2247
Country : US
Telephone Number : 205-824-0775
Fax Number : 205-313-5791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 07/30/2007

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Directions to “ MRS. LESLIE ELIAS CHENEY R.PH.” Practice Location

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