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1689725012
KEVIN MARTIN GAUGHAN
RIPLEY, WV
NPI
1689725012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WV 5676)
Enumeration Date
2007-01-13
Last Update Date
2007-07-08
Business Address
Mr. KEVIN MARTIN GAUGHAN B.S. Pharmacy
120 MCGRAW ST
RIPLEY, WV 25271-1111
Phone number: 304-372-4487
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Mailing Address
Mr. KEVIN MARTIN GAUGHAN B.S. Pharmacy
1991 RIPLEY RD
SPENCER, WV 25276-9280
Phone number: 304-927-4477
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