Individual
DR. JACOB GRAY LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 W JACKSON ST, ATTICA, IN 47918-1313
(317) 431-7757
Mailing address
8237 E 12TH ST, INDIANAPOLIS, IN 46219-4004
(317) 431-7757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029953A
IN
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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