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Organization
NORTH ALTON PHARMACY INC
Active
Organization
NORTH ALTON PHARMACY INC
Active
Other names
LeClaire Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY EUGENE LECLAIRE SR. R.PH. (OWNER)
(618) 466-5633
Entity
Organization
Contact information
Practice address
2601 STATE ST, ALTON, IL 62002-5151
(618) 466-5633
(618) 466-5695
Mailing address
2601 STATE ST, ALTON, IL 62002-5151
(618) 466-5633
(618) 466-5695
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54.013658
IL
Other
Enumeration date
08/14/2006
Last updated
01/08/2014
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