Organization
LEC PHARMA, LLC
Active
Other names
ValuCare Center
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA F GRUSZYNSKI (PRESIDENT)
(715) 854-7425
Entity
Organization
Contact information
Practice address
1378 MAIN ST, MARINETTE, WI 54143
(715) 732-0717
(715) 732-0596
Mailing address
1378 MAIN ST, MARINETTE, WI 54143
(715) 732-0717
(715) 732-0596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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