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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL JOHN GENCZO, RPH

Active

Pharmacist Clinician (PhC) · COOS BAY, OR

Registration Details

NPI Number
1144522004
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2010 (15.39884386418 yrs)
Last Updated
May 3, 2017
Licenses
RPH-0012481 (OR)
ORRPH-0012481 (OR)

Practice Information

Address
1020 S 1ST AVE
COOS BAY, OR, 97420
Browse OR providers · Browse ZIP 97420
Phone
5412694033
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X
Additional Specialty
Pharmacist Clinician (PhC)

Other Pharmacist Clinician (PhC) Providers in COOS BAY, OR

Name Credential NPI
CARYN C MICKELSON PHARMD 1285935700
JAMES A WILSON RPH 1720353766
GREGORY CARVER RPH 1760853253
DR. DANIEL HENDRICKSON PHARMD 1588178701
KASEM DARWISH EL-HAJJI PHARMD 1639789266
PHILIP ROBERT PETRIS PHARM.D. 1811635055
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.