Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gavin Randy Kloulubak, PHARMD

Individual provider Pharmacist · NPI 1578113460

Dr. Gavin Randy Kloulubak, PHARMD is a Pharmacist in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2019
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

551 S Hover St
Longmont, CO 80501-7920
Phone: (720) 864-4394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 22422 (CO)

Record details

NPI number1578113460
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019

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