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

Gary Lee Kabetso Jr.

Individual provider Pharmacist · NPI 1801461363

Gary Lee Kabetso Jr. is a Pharmacist in Boardman, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

8401 Market St
Boardman, OH 44512-6725
Phone: (330) 729-4498
Fax: (330) 729-4590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 03120630 (OH)

Record details

NPI number1801461363
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

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