Provider Demographics
NPI:1104036581
Name:GAWRON, JOYCE A (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:GAWRON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 LOOKAWAY LN
Mailing Address - Street 2:
Mailing Address - City:WENTWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03282-3605
Mailing Address - Country:US
Mailing Address - Phone:603-786-9716
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:INPATIENT PHARMACY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756
Practice Address - Country:US
Practice Address - Phone:603-650-4345
Practice Address - Fax:603-650-4454
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1904183500000X
MA19602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist