Individual
MR. KEVIN MARTIN GAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. PHARMACY
Contact information
Practice address
120 MCGRAW ST, RIPLEY, WV 25271-1111
(304) 372-4487
Mailing address
1991 RIPLEY RD, SPENCER, WV 25276-9280
(304) 927-4477
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5676
WV
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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