Individual
MR. GERALD DANA RADANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
60 NE BEND RIVER MALL DR, BEND, OR 97701-7528
(541) 385-6076
Mailing address
20818 SOLSTICE DR, BEND, OR 97701-8404
(541) 408-4858
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
06369
OR
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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