Provider Demographics
NPI:1407927841
Name:GAVER, VINCENT E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:E
Last Name:GAVER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 FINSBURY ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8206
Mailing Address - Country:US
Mailing Address - Phone:919-627-3143
Mailing Address - Fax:
Practice Address - Street 1:121 FINSBURY ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8206
Practice Address - Country:US
Practice Address - Phone:919-627-3143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist