Leslie Jones Easom | Albuquerque, NM • PECOS Search

Leslie Jones Easom

Pharmacist

Pharmacy Service Providers

12201 Academy Rd NE, Albuquerque, NM 87111-8051

PECOS Enrollment

Based on the most recent information from CMS, provider Leslie Jones Easom does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1033427604
Provider Type
Individual
Full Name
Jones Easom, Leslie
Credential
R.PH.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/17/2010
Last Updated
9/17/2010

Contact Information

Practice Location

12201 Academy Rd NE, Albuquerque, NM 87111-8051

Unlisted Fax

Mailing Location

12201 Academy Rd NE, Albuquerque, NM 87111-8051

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RP00004348 New Mexico