Provider Demographics
NPI:1790387546
Name:TOMPKINS, LESLIE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 GRACE LN
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-1619
Mailing Address - Country:US
Mailing Address - Phone:214-893-5172
Mailing Address - Fax:
Practice Address - Street 1:145 N 4TH ST
Practice Address - Street 2:
Practice Address - City:WILLS POINT
Practice Address - State:TX
Practice Address - Zip Code:75169-2040
Practice Address - Country:US
Practice Address - Phone:903-873-2538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist