Most Relevant Information
Provider Data
| NPI Number: | 1003523960 |
| Provider Name: | LESLIE RECCIUS PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 015475 |
Most Important Dates
| Enumeration Date: | 11/01/2022 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
2401 TERRA CROSSING BLVD
LOUISVILLE
KY
402455395
Practice Location Phone/Fax
| Phone: | 5022104295 |
| Fax: |
Provider Mailing Location
64 ALYSSA WAY
FISHERVILLE
KY
400237581
Provider Mailing Phone/Fax
| Phone: | 5027416455 |
| Fax: |