Individual
GERALD PASKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 W. STATE ST., O'FALLON, IL 62269
(618) 206-8655
Mailing address
109 SIR LAWRENCE DRIVE, SHILOH, IL 62221
(618) 623-9332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037895
IL
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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