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NPI 1790021996

IndividualActive

Gerald Gerke

NPI 1790021996 · Pharmacist · Madras, OR

Provider details

NPI number: 1790021996
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: No
License: 4528 (OR)

Practice location

80 Ne Cedar St

Madras, OR 97741-1956

Phone: (541) 325-0466

Fax: (541) 325-0468

More OR providers

Mailing address

80 Ne Cedar St

Madras, OR 97741-1956

Registry dates

Enumerated: 2012-12-17
Last updated: 2012-12-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gerald Gerke — NPI 1790021996, Madras, OR | NPI Central