Austin Leclere
Individual provider Active NPI Pharmacist · Ferdinand, IN
NPI 1831794544 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1831794544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26028749A (IN)
- Practice address
- 20 Industrial Park Rd
Ferdinand, IN 47532-9665 - Phone
- (812) 367-2030
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028749A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hook-Superx LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26028749A | IN | Yes |
Addresses
Primary practice location
20 Industrial Park Rd
Ferdinand, IN 47532-9665
Mailing address
20 Industrial Park Rd
Ferdinand, IN 47532-9665
Phone (812) 367-2030
Other providers in Ferdinand, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.