Individual
MR. ALFRED JOHN GAVAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
125 S TRANSIT RD, LOCKPORT, NY 14094-4834
(716) 433-2678
(716) 433-3701
Mailing address
125 S TRANSIT RD, LOCKPORT, NY 14094-4834
(716) 433-2678
(716) 433-3701
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025886
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025886
STATE LICENSE
NY
Enumeration date
11/03/2007
Last updated
11/03/2007
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