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Individual

DR. GAVIN MICHAEL HOUCHINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-3299
(704) 799-6871
Mailing address
594 N MAIN ST, MOORESVILLE, NC 28115-2328
(704) 799-6872
(704) 799-6871

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
11979
SC
183500000X
Pharmacist
Primary
13879
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11979
SOUTH CAROLINA PHARMACIST
SC
01
13879
NORTH CAROLINA PHARMACIST
NC
Enumeration date
10/18/2006
Last updated
07/09/2014
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