Provider Demographics
NPI:1588705610
Name:SAIN, GARY LEE (PHARMACIST)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:LEE
Last Name:SAIN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 RIVER HILLS CT
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-7614
Mailing Address - Country:US
Mailing Address - Phone:828-495-4177
Mailing Address - Fax:828-495-7624
Practice Address - Street 1:9471 NC HIGHWAY 127
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-8394
Practice Address - Country:US
Practice Address - Phone:828-495-8258
Practice Address - Fax:828-495-8260
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist