MEDICARE: CURTIS GIERSCH R.PH.

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
1	183500000X	Pharmacist	12448	CO

General Provider Information

NPI Number	:	1245868025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS GIERSCH R.PH.

Provider Business Mailing Address
First Line	:	76 LONG HOLLOW LN
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-7120
Country	:	US
Telephone Number	:	970-799-7532
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 LONG HOLLOW LN
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-7120
Country	:	US
Telephone Number	:	970-799-7532
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2020
Last Update Date	:	03/29/2020

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