Jeffrey Laist Gore, PHARMD
NPI #1891272142 in Willits, California
Provider Information
- NPI Number
- 1891272142
- Entity Type
- Individual
- Name
- Jeffrey Laist Gore, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Jul 19, 2018
- Last Updated
- Jul 19, 2018
Practice Location
- Address
- 845 S MAIN ST
- City
- Willits
- State
- California
- ZIP Code
- 95490-3998
- Phone
- (707) 456-1790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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