Individual
CHARLES LEROY GLEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
9889 CR 29, BLAIR, NE 68008
(402) 426-3581
Mailing address
9889 CR 29, BLAIR, NE 68008
(402) 426-3581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7916
NE
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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