MR. John Michael Gwiazda, R.PH
NPI #1790017994 in Southampton, New York
Provider Information
- NPI Number
- 1790017994
- Entity Type
- Individual
- Name
- MR. John Michael Gwiazda, R.PH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- R.PH
- Enumeration Date
- Feb 12, 2010
- Last Updated
- Feb 12, 2010
Practice Location
- Address
- 111 MAIN ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4810
- Phone
- (631) 283-4251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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