Provider Demographics
NPI:1255648713
Name:MARMAN, GERRY W (RPH)
Entity type:Individual
Prefix:MR
First Name:GERRY
Middle Name:W
Last Name:MARMAN
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 1:18020 E BERRY DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2616
Mailing Address - Country:US
Mailing Address - Phone:303-680-9507
Mailing Address - Fax:
Practice Address - Street 1:18020 E BERRY DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-2616
Practice Address - Country:US
Practice Address - Phone:303-680-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-04
Last Update Date:2010-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3370183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist