Provider Demographics
NPI:1417361692
Name:FLOREN, LESLIE CARSTENSEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:CARSTENSEN
Last Name:FLOREN
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 1:889 SANTA BARBARA RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2017
Mailing Address - Country:US
Mailing Address - Phone:510-528-9951
Mailing Address - Fax:510-528-9952
Practice Address - Street 1:889 SANTA BARBARA RD
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2017
Practice Address - Country:US
Practice Address - Phone:510-528-9951
Practice Address - Fax:510-528-9952
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47686183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist