Jerry Leonard Glocke R.PH.

NPI 1306999396 - Pharmacist - 183500000X

NPI Details
NPI 1306999396
Gender Male
Enumeration Date 01/21/2007
Last Updated 09/08/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
LA CROSSE WI, 54601-6155, US
Phone (608) 775-8571
Fax (608) 775-8578
Business Location
1119 PINE ST
ONALASKA WI, 54650-2029, US
Phone (608) 519-1181
Fax (608) 775-8578
Taxonomy Code 183500000X
License State Wisconsin
License Number 7975040
Remove 1306999396 NPI Number

According to our database, Mr. Jerry Leonard Glocke R.PH. NPI is 1306999396, taxonomy code is 183500000X and license number is 7975040, license state is located at Wisconsin. Jerry Leonard Glocke R.PH. physically located at 2442 State Rd, La Crosse WI, 54601-6155. NPI Number Jerry Leonard Glocke R.PH. has the Individual type.

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1306999396 NPI number is provided on an as is basis without warranty of any kind. 1306999396 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Leonard Glocke R.PH. are for informational purposes only.