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LEIGH ANN BRASEL P.D.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1528345014
Individual Registrant: LEIGH ANN BRASEL P.D.
Gender: F
Sole Proprietor
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
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
Tel: 479-273-9136 Fax: 479-273-9155
Registration Information:
NPI: 1528345014
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | 08843 |
| N | 183500000X | Pharmacy Service Providers Pharmacist | TX | 41501 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
