Organization
NORTH ALTON PHARMACY INC
Active
Other names
LeClaire Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY EUGENE LECLAIRE SR. R.PH. (OWNER)
(618) 466-5633
Entity
Organization
Contact information
Practice address
2601 STATE ST, ALTON, IL 62002-5151
(618) 466-5633
(618) 466-5695
Mailing address
2601 STATE ST, ALTON, IL 62002-5151
(618) 466-5633
(618) 466-5695
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54.013658
IL
Other
Enumeration date
08/14/2006
Last updated
01/08/2014
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