Individual
GARY R. GEHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
305 E GRAND AVE, LAKE VILLA, IL 60046-7834
(847) 265-5249
Mailing address
305 E. GRAND AVE, LAKE VILLA, IL 60046
(847) 265-5249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304528
IL
183500000X
Pharmacist
S015738
AZ
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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