Provider Demographics
NPI:1720832744
Name:GERIAK, MATTHEW (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:GERIAK
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:SHARP RESEARCH PHARMACY
Mailing Address - Street 2:3558 RUFFIN ROAD, STE 101
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-939-3717
Mailing Address - Fax:
Practice Address - Street 1:SHARP RESEARCH PHARMACY
Practice Address - Street 2:3558 RUFFIN ROAD, STE 101
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-939-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490361835I0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835I0206XPharmacy Service ProvidersPharmacistInfectious DiseasesGroup - Single Specialty