Provider Demographics
NPI:1841410032
Name:HESKO, GERALD FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:FRANCIS
Last Name:HESKO
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 1:72 MAIN CIRCLE
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-0000
Mailing Address - Country:US
Mailing Address - Phone:210-659-3004
Mailing Address - Fax:
Practice Address - Street 1:72 MAIN CIR
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-5473
Practice Address - Country:US
Practice Address - Phone:210-659-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP035699L183500000X
NJ28RI02004100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist