National Provider Identifier

J Gage Moran, RPH

J Gage Moran, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Perry, NY and a listed phone number of (585) 237-3113.

NPI 1730369737Perry, NYPharmacist

Profile Overview

NPI
1730369737
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 07, 2007
Last Updated
February 25, 2010

Practice Location

  • 128 N Center St
  • Perry, NY 14530-9701

Phone: (585) 237-3113

Mailing Address

  • 4944 Pineledge Dr N
  • Clarence, NY 14031-1532

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1730369737
Entity Type
Individual
Last Name
Moran
First Name
J Gage
Credential
RPH
Mailing Street Address
4944 Pineledge Dr N
Mailing City
Clarence
Mailing State
NY
Mailing ZIP Code
14031-1532
Mailing Country
US
Mailing Phone
(716) 759-8277
Practice Street Address
128 N Center St
Practice City
Perry
Practice State
NY
Practice ZIP Code
14530-9701
Practice Country
US
Practice Phone
(585) 237-3113
Enumeration Date
November 07, 2007
Last Updated
February 25, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)