Leslie Elmer Wolff, RPH
Individual provider Active NPI Pharmacist · Pierz, MN
NPI 1932277555 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932277555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 111325-5 (MN)
- Practice address
- 207 Main St N
Pierz, MN 56364-1517 - Phone
- (320) 468-6482
- Fax
- (320) 468-0041
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111325-5 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Drug Acquisition Co LLC | Past | Accepting new patients | |
| Keaveny Korner Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 111325-5 | MN | Yes |
Addresses
Primary practice location
207 Main St N
Pierz, MN 56364-1517
Mailing address
16263 Iris Rd
Little Falls, MN 56345-6238
Phone (320) 632-5952
Other providers in Pierz, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.