GERALD DAVID FAIRBANKS

SALEM, OR
NPI1265756068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  8874)
Enumeration Date2010-03-23
Last Update Date2010-03-23
Business Address
Mr. GERALD DAVID FAIRBANKS RPh
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 800-972-7207
Mailing Address
Mr. GERALD DAVID FAIRBANKS RPh
2400 LANCASTER DR NE
SALEM, OR 97305-1221
Phone number: 800-972-7207
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