JERRY DAVID WHITACRE

LONG BEACH, CA
NPI1568767689
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  22685)
Enumeration Date2011-01-20
Last Update Date2011-01-20
Business Address
MR. JERRY DAVID WHITACRE RPH
5949 E SPRING ST
LONG BEACH, CA 90808-3752
Phone number: 562-496-1851
Mailing Address
MR. JERRY DAVID WHITACRE RPH
5949 E SPRING ST
LONG BEACH, CA 90808-3752
Phone number: 562-496-1851
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