Godfrey Prescription Shoppe

NPI #1518970128 in Godfrey, Illinois

Provider Information

NPI Number
1518970128
Entity Type
Organization
Organization Name
Godfrey Prescription Shoppe
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 14, 2006
Last Updated
Jan 23, 2008

Practice Location

Address
5701 GODFREY RD
ZIP Code
62035-2471
Phone
(618) 466-5577

Authorized Official

Name
MR. GERRY EUGENE LECLAIRE, R.PH.
Title
OWNER
Phone
(618) 466-5577

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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