National Provider Identifier
Laura Mavis
Laura Mavis is listed in the NPPES registry with a primary specialty of Pharmacist in Amherst, NY and a listed phone number of (716) 691-3000.
Profile Overview
- NPI
- 1588996532
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- February 02, 2010
- Last Updated
- November 09, 2011
Practice Location
- 375 N French RD
- Amherst, NY 14228-2009
Phone: (716) 691-3000
Mailing Address
- 4872 Shirley RD
- North Collins, NY 14111-9786
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1588996532
- Entity Type
- Individual
- Last Name
- Mavis
- First Name
- Laura
- Provider Other Last Name
- Gawron
- Provider Other First Name
- Laura
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4872 Shirley RD
- Mailing City
- North Collins
- Mailing State
- NY
- Mailing ZIP Code
- 14111-9786
- Mailing Country
- US
- Practice Street Address
- 375 N French RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2009
- Practice Country
- US
- Practice Phone
- (716) 691-3000
- Enumeration Date
- February 02, 2010
- Last Updated
- November 09, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)