Provider Demographics
NPI:1992867154
Name:MALONEY, LESLEY RANAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:RANAY
Last Name:MALONEY
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 1:14000 QUAIL SPRINGS PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2620
Mailing Address - Country:US
Mailing Address - Phone:405-840-2891
Mailing Address - Fax:
Practice Address - Street 1:14000 QUAIL SPRINGS PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2620
Practice Address - Country:US
Practice Address - Phone:405-840-2891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13761183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist