MR. Gerald Lee Farris

NPI #1255429056 in Pinckneyville, Illinois

Provider Information

NPI Number
1255429056
Entity Type
Individual
Name
MR. Gerald Lee Farris
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1 N WALNUT ST
ZIP Code
62274-1025
Phone
(618) 357-8781

Specialties & Taxonomy Codes

Specialty
Pharmacist

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