Provider Demographics
NPI:1679178214
Name:TURNER, LESLIE MICHELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MICHELLE
Last Name:TURNER
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 1:2012 OZARK DR # A
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9672
Mailing Address - Country:US
Mailing Address - Phone:870-219-9506
Mailing Address - Fax:
Practice Address - Street 1:325 SOUTHWEST DR STE A
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-5854
Practice Address - Country:US
Practice Address - Phone:870-935-1340
Practice Address - Fax:870-935-3329
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD15461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist