Provider Demographics
NPI:1194019281
Name:STONE, LESLIE N (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:N
Last Name:STONE
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 1:4885 ELDORADO PKWY
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8662
Mailing Address - Country:US
Mailing Address - Phone:972-464-5746
Mailing Address - Fax:972-464-5748
Practice Address - Street 1:4885 ELDORADO PKWY
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8662
Practice Address - Country:US
Practice Address - Phone:972-464-5746
Practice Address - Fax:972-464-5748
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49147183500000X
LAPST.019159183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist