Individual
AUSTIN LECLERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 INDUSTRIAL PARK RD, FERDINAND, IN 47532-9665
(812) 367-2030
Mailing address
20 INDUSTRIAL PARK RD, FERDINAND, IN 47532-9665
(812) 367-2030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028749A
IN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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