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LEIGH ANN BRASEL P.D.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1528345014

Individual Registrant:
 LEIGH ANN BRASEL P.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
3499 BELLA VISTA WAY  BELLA VISTA, AR 72714-5740 US
Tel: 479-273-9136  Fax: 479-273-9155

Contact information for business:
3499 BELLA VISTA WAY  BELLA VISTA, AR 72714-5740 US
Tel: 479-273-9136  Fax: 479-273-9155

Registration Information:
NPI: 1528345014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AR08843
N183500000XPharmacy Service Providers
Pharmacist
TX41501

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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