DR. Gavin Hall Kivisto, PHARM.D

NPI #1811273048 in Carlsbad, California

Provider Information

NPI Number: 1811273048
Entity Type: Individual
Name: DR. Gavin Hall Kivisto, PHARM.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D
Enumeration Date: Nov 2, 2011
Last Updated: Nov 2, 2011

Practice Location

Address: 6852 VIA VERANO
City: Carlsbad
State: California
ZIP Code: 92009-6021
Phone: (760) 539-7054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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