Kloulubak, Gavin Randy

Kloulubak, Gavin Randy is an sole proprietor health care provider with primary practice located at 551 S Hover St , Longmont CO 80501-7920. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kloulubak, Gavin Randy can be contacted via phone (720) 864-4394.

Contact Information

Primary practice address
551 S Hover St Longmont CO 80501-7920
Phone: (720) 864-4394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 22422 Colorado

Profile Details

NPI number 1578113460
LBN Legal business name Kloulubak, Gavin Randy
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2019
Last updated Sep 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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