NPI 1245315696

Gayland Gene Vandiver, RPH

Practitioner Pharmacist Cleveland, TX

Practice location

Address: 101 S Washington Ave, Cleveland, TX 77327-4414
Phone: (281) 592-0491
Fax: (281) 592-0459

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21096 (TX)

Other Pharmacist providers in Texas →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 3846 (NM)

Registry record

NPI: 1245315696
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2006
Record last updated: 26 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.