Individual
GERRY BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 SANTA CLAUS LN, NORTH POLE, AK 99705-6081
(907) 490-2760
Mailing address
PO BOX 55523, NORTH POLE, AK 99705
(907) 488-6702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
559
AK
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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