Individual
GERALD ROBERT EISENBEIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
G3320 BEECHER RD, DIPLOMAT SPECIALTY PHARMACY, FLINT, MI 48532
(810) 732-8720
Mailing address
1129 DEER CREEK TRL, GRAND BLANC, MI 48439-9263
(810) 655-2583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030502
MI
183500000X
Pharmacist
PS39914
FL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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