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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LESLIE BLAYLOCK, PHARMD

Active Sole Proprietor

DR. LESLIE BLAYLOCK, PHARMD is a Long-Term Care Pharmacy healthcare provider located in TUPELO, Mississippi. NPI 1083227433 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · TUPELO, MS

Registration Details

NPI Number
1083227433
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2020 (5.9390118332335 yrs)
Last Updated
Aug 26, 2020
License
E-07703 (MS)
Sole Proprietor
Yes

Practice Information

Address
817 W MAIN ST
TUPELO, MS, 388013630
Browse MS providers · Browse ZIP 38801
Phone
6626207959
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.