Healthcare Provider Details
I. General information
NPI: 1629917455
Provider Name (Legal Business Name): GAHM'S PHARMACY II, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1565 GALENA PIKE
WEST PORTSMOUTH OH
45663-6059
US
IV. Provider business mailing address
1565 GALENA PIKE
WEST PORTSMOUTH OH
45663-6059
US
V. Phone/Fax
- Phone: 740-858-5000
- Fax: 740-858-9177
- Phone: 740-858-5000
- Fax: 740-858-9177
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
MICHAEL
GAHM
Title or Position: OWNER
Credential:
Phone: 740-858-5000