MR. Gary Wayne Trivanovich, RPH
NPI #1548543531 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1548543531
- Entity Type
- Individual
- Name
- MR. Gary Wayne Trivanovich, RPH
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 2405 PASS RD
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39531-2111
- Phone
- (228) 388-3458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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