Individual
DR. NICHOLAS GAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
240 INDEPENDENCE WAY, DANVERS, MA 01923-3653
(978) 762-3154
(978) 716-3308
Mailing address
20 WASHINGTON SQ, REVERE, MA 02151-4131
(781) 354-7988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH238138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH238138
PHARMACIST LICENSE
MA
Enumeration date
11/23/2020
Last updated
11/23/2020
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