MR. Gerald David Fairbanks, RPH

NPI #1265756068 in Salem, Oregon

Provider Information

NPI Number
1265756068
Entity Type
Individual
Name
MR. Gerald David Fairbanks, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Mar 23, 2010
Last Updated
Mar 23, 2010

Practice Location

Address
2400 LANCASTER DR NE
City
Salem
State
Oregon
ZIP Code
97305-1221
Phone
(800) 972-7207

Specialties & Taxonomy Codes

Specialty
Pharmacist

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