Madison Gongaware, PHARMD

NPI #1306514062 in Fairchance, Pennsylvania

Provider Information

NPI Number: 1306514062
Entity Type: Individual
Name: Madison Gongaware, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 30, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 90 W CHURCH ST
City: Fairchance
State: Pennsylvania
ZIP Code: 15436-1137
Phone: (724) 564-7817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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