Individual
MR. GERRY EUGENE LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5701 GODFREY RD, GODFREY, IL 62035-2471
(618) 466-5577
(618) 466-5618
Mailing address
1301 WHITE OAK TRL, GODFREY, IL 62035-5707
(618) 466-1828
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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