Provider Demographics
NPI:1538449236
Name:PINKERTON, LESLIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W MADISON ST
Mailing Address - Street 2:WALGREENS PHARMACY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-3317
Mailing Address - Country:US
Mailing Address - Phone:312-214-4385
Mailing Address - Fax:312-214-4479
Practice Address - Street 1:201 W MADISON ST
Practice Address - Street 2:WALGREENS PHARMACY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-3317
Practice Address - Country:US
Practice Address - Phone:312-214-4385
Practice Address - Fax:312-214-4479
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-288069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist