Provider Demographics
NPI:1174225155
Name:GYGI, DARIAN
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:GYGI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 LOCUST ST S
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-8406
Mailing Address - Country:US
Mailing Address - Phone:330-854-6618
Mailing Address - Fax:330-854-9726
Practice Address - Street 1:2220 LOCUST ST S
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-8406
Practice Address - Country:US
Practice Address - Phone:330-854-6618
Practice Address - Fax:330-854-9726
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH09317810183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician