Provider Demographics
NPI:1407353915
Name:TEUFEL, LEANNE G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:G
Last Name:TEUFEL
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 1:406 S WALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-5705
Mailing Address - Country:US
Mailing Address - Phone:479-273-5080
Mailing Address - Fax:479-273-5083
Practice Address - Street 1:406 S WALTON BLVD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-5705
Practice Address - Country:US
Practice Address - Phone:479-273-5080
Practice Address - Fax:479-273-5083
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD12067183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist