Provider Demographics
NPI:1639454317
Name:TURNER, LELAND R (PHARMD)
Entity Type:Individual
Prefix:
First Name:LELAND
Middle Name:R
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 1/2 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5612
Mailing Address - Country:US
Mailing Address - Phone:479-530-3656
Mailing Address - Fax:
Practice Address - Street 1:301 1/2 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5612
Practice Address - Country:US
Practice Address - Phone:479-530-3656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT969785183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician