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Individual

MR. CRAIG A LEQUATTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3252
Mailing address
2236 HAVERFORD DR, BELLEVILLE, IL 62221-7990
(618) 401-9019

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-035918
IL

Other

Enumeration date
11/13/2006
Last updated
05/22/2013
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