Individual
JACLYN S. GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD, BCPS
Contact information
Practice address
1002 S VIRGINIA ST, HOPKINSVILLE, KY 42240-3507
(270) 885-2106
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2014021643
MO
Other
Enumeration date
08/18/2014
Last updated
10/02/2018
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