Provider Demographics
NPI:1194932863
Name:GEHA, GEORGE A (RPH)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:A
Last Name:GEHA
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 1:129 RYDER CORNER RD
Mailing Address - Street 2:
Mailing Address - City:SUNAPEE
Mailing Address - State:NH
Mailing Address - Zip Code:03782-2815
Mailing Address - Country:US
Mailing Address - Phone:603-763-3272
Mailing Address - Fax:
Practice Address - Street 1:14 BOWEN ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2329
Practice Address - Country:US
Practice Address - Phone:603-542-3325
Practice Address - Fax:603-542-1281
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist