Individual
MR. RICKI JOSEPH GERLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4646 JOHN R ST, OUTPATIENT PHARMACY 118CP, DETROIT, MI 48201-1916
(313) 576-4616
(313) 576-1105
Mailing address
16426 MANCHESTER AVE, EASTPOINTE, MI 48021-1128
(586) 306-7198
(313) 576-1105
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
—
—
183700000X
Pharmacy Technician
Primary
1401-0452-0763-960
DC
Other
Enumeration date
08/11/2006
Last updated
07/13/2007
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