Provider Demographics
NPI:1174883961
Name:TURNER, LESLIE ROBERTS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ROBERTS
Last Name:TURNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 WOODLEAF LN
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-4300
Mailing Address - Country:US
Mailing Address - Phone:423-863-5227
Mailing Address - Fax:
Practice Address - Street 1:121 BOONE RIDGE DR
Practice Address - Street 2:SUITE 1004
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37615-4992
Practice Address - Country:US
Practice Address - Phone:423-282-0520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist