Individual
JORDAN MARLEE LEGRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21152 N LAGRANGE RD, FRANKFORT, IL 60423-2010
(815) 464-5050
Mailing address
375 THELMA ST, MANHATTAN, IL 60442-9263
(815) 861-5494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298837
IL
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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