MR. David Lee Gortat, R.PH.

NPI #1588649867 in Highland, Indiana

Provider Information

NPI Number: 1588649867
Entity Type: Individual
Name: MR. David Lee Gortat, R.PH.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Dec 9, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2727 HIGHWAY AVE
Address 2: PHARMACY
City: Highland
State: Indiana
ZIP Code: 46322-1615
Phone: (219) 923-2520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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