MEDICARE: WILLIAM LINNIE GERRARD JR. 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	0202004205	VA

General Provider Information

NPI Number	:	1891099560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM LINNIE GERRARD JR. R.PH.

Provider Business Mailing Address
First Line	:	10604 ROLLINGWOOD DR
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22407-1675
Country	:	US
Telephone Number	:	540-898-0306
Fax Number	:

Provider Business Practice Location Address
First Line	:	5479 GERMANNA HWY
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2018
Country	:	US
Telephone Number	:	540-972-7994
Fax Number	:	540-972-0706

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

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	01/10/2011

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