National Provider Identifier

William Lucas Gavin, RPH

William Lucas Gavin, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Hamburg, NY and a listed phone number of (716) 646-0598.

NPI 1982121695Hamburg, NYPharmacist

Profile Overview

NPI
1982121695
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
August 23, 2017
Last Updated
August 23, 2017

Practice Location

  • 5360 Southwestern Blvd
  • Hamburg, NY 14075-3596

Phone: (716) 646-0598

Mailing Address

  • 21 Pelham Dr
  • Buffalo, NY 14214-1218

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1982121695
Entity Type
Individual
Last Name
Gavin
First Name
William
Middle Name
Lucas
Credential
RPH
Mailing Street Address
21 Pelham Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1218
Mailing Country
US
Mailing Phone
(518) 847-2348
Practice Street Address
5360 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-3596
Practice Country
US
Practice Phone
(716) 646-0598
Enumeration Date
August 23, 2017
Last Updated
August 23, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)