Individual
GARY J LECOQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5909 E STATE ST, ROCKFORD, IL 61108-2429
(815) 229-5719
(815) 229-0013
Mailing address
5909 E STATE ST, ROCKFORD, IL 61108-2429
(815) 229-5719
(815) 229-0013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288659
IL
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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