Provider Demographics
NPI:1821475880
Name:LEFLORE, ELIZABETH SPENCER (RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SPENCER
Last Name:LEFLORE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 BROWNING ROAD
Mailing Address - Street 2:P.O. BOX 1505
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-9417
Mailing Address - Country:US
Mailing Address - Phone:662-453-6211
Mailing Address - Fax:662-455-5243
Practice Address - Street 1:2504 BROWNING ROAD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-9417
Practice Address - Country:US
Practice Address - Phone:662-453-6211
Practice Address - Fax:662-453-4600
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-08008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist