Individual
DMITRIY A GERASIMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(866) 280-1563
Mailing address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(866) 280-1563
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0012807
OR
Other
Enumeration date
03/07/2012
Last updated
11/18/2016
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