Provider Demographics
NPI:1225353733
Name:GUERKE, LAWRENCE RALPH (RPH)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:RALPH
Last Name:GUERKE
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 1:8914 MAGNOLIA ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7848
Mailing Address - Country:US
Mailing Address - Phone:980-322-5762
Mailing Address - Fax:
Practice Address - Street 1:625 HARPER AVE SW
Practice Address - Street 2:KERR DRUG
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5250
Practice Address - Country:US
Practice Address - Phone:828-758-5196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist