Glocke, Jerry Leonard

Glocke, Jerry Leonard is an individual health care provider with primary practice located at 2442 State Rd , La Crosse WI 54601-6155. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Glocke, Jerry Leonard can be contacted via phone (608) 775-8571.

Contact Information

Primary practice address
2442 State Rd La Crosse WI 54601-6155
Fax: (608) 775-8578
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7975040 Wisconsin

Profile Details

NPI number 1306999396
LBN Legal business name Glocke, Jerry Leonard
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2007
Last updated Sep 8th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers