Organization
GODFREY PRESCRIPTION SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY EUGENE LECLAIRE R.PH. (OWNER)
(618) 466-5577
Entity
Organization
Contact information
Practice address
5701 GODFREY RD, GODFREY, IL 62035-2471
(618) 466-5577
(618) 466-5577
Mailing address
5701 GODFREY RD, GODFREY, IL 62035-2471
(618) 466-5577
(618) 466-5577
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
IL
Other
Enumeration date
08/14/2006
Last updated
01/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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