Provider Demographics
NPI:1073160008
Name:HARRIS, LESLEY (RPH)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 SW CORPORATE VW STE 210
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1245
Mailing Address - Country:US
Mailing Address - Phone:785-271-8000
Mailing Address - Fax:785-271-8001
Practice Address - Street 1:601 SW CORPORATE VW STE 210
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1245
Practice Address - Country:US
Practice Address - Phone:785-271-8000
Practice Address - Fax:785-271-8001
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-11826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist