Provider Demographics
NPI:1134510225
Name:KAHLER, LESLIE
Entity Type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:KAHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 RUSSELL STREET
Mailing Address - Street 2:TARGET PHARMACY
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9456
Mailing Address - Country:US
Mailing Address - Phone:413-586-6681
Mailing Address - Fax:
Practice Address - Street 1:365 RUSSELL STREET
Practice Address - Street 2:TARGET PHARMACY
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9456
Practice Address - Country:US
Practice Address - Phone:413-586-6681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician