Lecoque, Gary J

Lecoque, Gary J is an individual health care provider with primary practice located at 5909 E State St , Rockford IL 61108-2429. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lecoque, Gary J can be contacted via phone (815) 229-5719.

Contact Information

Primary practice address
5909 E State St Rockford IL 61108-2429
Phone: (815) 229-5719
Fax: (815) 229-0013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051288659 Illinois

Profile Details

NPI number 1518299734
LBN Legal business name Lecoque, Gary J
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2010
Last updated Feb 12th, 2010 - about 15 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.

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