DR. Blaine Gooch, PHARMD

NPI #1720410186 in Princeton, Indiana

Provider Information

NPI Number: 1720410186
Entity Type: Individual
Name: DR. Blaine Gooch, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 223 E CLARK ST
City: Princeton
State: Indiana
ZIP Code: 47670-2109
Phone: (812) 215-0305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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