William Lucas Gavin, RPh
Pharmacist in Hamburg, NY. Individual provider (NPI-1).
NPI number1982121695
StatusActive
Last updated in NPPESAug 23, 2017
Details
- NPI
- 1982121695
- Entity type
- Individual (NPI-1)
- Name
- William Lucas Gavin
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2017
- Last updated
- Aug 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 063296 | NY | Yes |
Practice location
5360 Southwestern BlvdHamburg, NY 14075-3596
Phone 716-646-0598
Mailing address
21 Pelham DrBuffalo, NY 14214-1218
Phone 518-847-2348
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