Provider Demographics
NPI:1710180567
Name:GERSTNER, JANET DAVIES (RPH)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:DAVIES
Last Name:GERSTNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 SADDLEHORN DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4079
Mailing Address - Country:US
Mailing Address - Phone:785-331-5534
Mailing Address - Fax:
Practice Address - Street 1:4225 SADDLEHORN DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4079
Practice Address - Country:US
Practice Address - Phone:785-334-5534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10520183500000X
KS1-10520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist