Individual
MRS. KATHERINE JO KLECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4904
Mailing address
1200 TANGLEWOOD DR, HERRIN, IL 62948-4400
(618) 988-9181
(618) 351-4904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-041213
IL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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