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NPI Code Detail

MEDICARE: MR. DONALD CHARLES GITERSONKE RPH, MBA

MEDICARE:  MR. DONALD CHARLES GITERSONKE  RPH, MBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist20405MI
2183500000XPharmacist12226NV

General Provider Information

NPI Number : 1013133784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD CHARLES GITERSONKE RPH, MBA
Provider Business Mailing Address
First Line : 9333 MOUNT CHERIE AVE
Second Line : # 101
City : LAS VEGAS
State : NV
Zip : 89129-7566
Country : US
Telephone Number : 702-256-0833
Fax Number :
Provider Business Practice Location Address
First Line : 9333 MOUNT CHERIE AVE
Second Line : # 101
City : LAS VEGAS
State : NV
Zip : 89129-7566
Country : US
Telephone Number : 702-256-0833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 07/08/2007

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Directions to “ MR. DONALD CHARLES GITERSONKE RPH, MBA” Practice Location

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