Provider Demographics
NPI:1942583588
Name:VENTRE, GERALD (PHARMD)
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:
Last Name:VENTRE
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 1:15 S OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5606
Mailing Address - Country:US
Mailing Address - Phone:954-946-4557
Mailing Address - Fax:954-946-5614
Practice Address - Street 1:15 S OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5606
Practice Address - Country:US
Practice Address - Phone:954-946-4557
Practice Address - Fax:954-946-5614
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist