Individual
MR. GERALD D GERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 NE CEDAR ST, MADRAS, OR 97741-1956
(541) 325-0466
(541) 325-0468
Mailing address
80 NE CEDAR ST, MADRAS, OR 97741-1956
(541) 325-0466
(541) 325-0468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4528
OR
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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