Provider Demographics
NPI:1639496011
Name:BROWN, LESLIE MEGAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MEGAN
Last Name:BROWN
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 1:1301 N RACE ST
Mailing Address - Street 2:ATTN PHARMACY
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-3454
Mailing Address - Country:US
Mailing Address - Phone:270-651-4401
Mailing Address - Fax:270-651-4607
Practice Address - Street 1:1301 N RACE ST
Practice Address - Street 2:ATTN PHARMACY
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-3454
Practice Address - Country:US
Practice Address - Phone:270-651-4401
Practice Address - Fax:270-651-4607
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332481835P1200X
OK150991835P1200X
KY0189301835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy