National Provider Identifier

Kevin John Gillon, PHARMD.

Kevin John Gillon, PHARMD. is listed in the NPPES registry with a primary specialty of Pharmacist in Watkins Glen, NY and a listed phone number of (607) 535-7350.

NPI 1194007575Watkins Glen, NYPharmacist

Profile Overview

NPI
1194007575
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
September 13, 2011
Last Updated
September 13, 2011

Practice Location

  • 506 S Franklin St
  • Watkins Glen, NY 14891-1524

Phone: (607) 535-7350

Mailing Address

  • 4817 E Lake RD
  • Geneva, NY 14456-9247

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1194007575
Entity Type
Individual
Last Name
Gillon
First Name
Kevin
Middle Name
John
Name Prefix
Dr.
Credential
PHARMD.
Mailing Street Address
4817 E Lake RD
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-9247
Mailing Country
US
Mailing Phone
(315) 730-2001
Practice Street Address
506 S Franklin St
Practice City
Watkins Glen
Practice State
NY
Practice ZIP Code
14891-1524
Practice Country
US
Practice Phone
(607) 535-7350
Enumeration Date
September 13, 2011
Last Updated
September 13, 2011
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)