Kiera Gavan

NPI #1164146452 in Mattituck, New York

Provider Information

NPI Number: 1164146452
Entity Type: Individual
Name: Kiera Gavan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 29, 2022
Last Updated: Sep 29, 2022

Practice Location

Address: 9870 MAIN RD
City: Mattituck
State: New York
ZIP Code: 11952-1548
Phone: (631) 298-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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