Gavin, Mark R
Gavin, Mark R is an sole proprietor health care provider with primary practice located at 1000 East Mountain Drive , Wilkes-Barre PA 18711. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Gavin, Mark R can be contacted via phone (570) 826-7707.Contact Information
Primary practice address
1000 East Mountain Drive
Wilkes-Barre PA 18711
Phone: (570) 826-7707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | RP043229L | Pennsylvania |
Profile Details
| NPI number | 1407091861 |
|---|---|
| LBN Legal business name | Gavin, Mark R |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2008 |
| Last updated | Dec 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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