Provider Demographics
NPI:1548424054
Name:BOYER, LESLIE G (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:G
Last Name:BOYER
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 1:915 COMMUNITY LN
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-4915
Mailing Address - Country:US
Mailing Address - Phone:256-751-3407
Mailing Address - Fax:
Practice Address - Street 1:241 HIGHWAY 31 SW STE 60
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2855
Practice Address - Country:US
Practice Address - Phone:256-751-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist