Provider Demographics
NPI:1205818655
Name:GERLAND, ROBERT C (RPH)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:GERLAND
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2054 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5817
Mailing Address - Country:US
Mailing Address - Phone:216-228-8251
Mailing Address - Fax:
Practice Address - Street 1:34099 MELINZ PKWY
Practice Address - Street 2:UNIT F-2
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-4041
Practice Address - Country:US
Practice Address - Phone:800-633-7167
Practice Address - Fax:800-474-8215
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-19226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist