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Individual

CHAD VERNON LECLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
460 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
(615) 851-8436
(615) 851-8523
Mailing address
460 LONG HOLLOW PIKE, GOODLETTSVILLE, TN 37072-3480
(615) 851-8436
(615) 851-8523

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000012840
TN

Other

Enumeration date
01/13/2013
Last updated
01/13/2013
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