Provider Demographics
NPI:1710581921
Name:GERBER, LAMAR KOHOUTEK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAMAR
Middle Name:KOHOUTEK
Last Name:GERBER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4752
Mailing Address - Country:US
Mailing Address - Phone:937-433-7618
Mailing Address - Fax:937-433-8502
Practice Address - Street 1:400 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4752
Practice Address - Country:US
Practice Address - Phone:937-433-7618
Practice Address - Fax:937-433-8502
Is Sole Proprietor?:No
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334850183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist