Individual
MR. GARY CERETTO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2700 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-1860
Mailing address
2700 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-7474
(618) 288-1860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260047130001
—
IL
Enumeration date
06/12/2006
Last updated
03/07/2023
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