MRS. Leslie G Cornelison, RPH

NPI #1538255955 in Jasper, Georgia

Provider Information

NPI Number: 1538255955
Entity Type: Individual
Name: MRS. Leslie G Cornelison, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1449 W CHURCH ST
City: Jasper
State: Georgia
ZIP Code: 30143-4075
Phone: (706) 692-2709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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