Carly Gostanian

NPI #1740776319 in Keizer, Oregon

Provider Information

NPI Number
1740776319
Entity Type
Individual
Name
Carly Gostanian
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy
Enumeration Date
Jul 7, 2018
Last Updated
Jul 7, 2018

Practice Location

Address
3862 RIVER RD N
City
Keizer
State
Oregon
ZIP Code
97303-4866
Phone
(503) 371-6717

Specialties & Taxonomy Codes

Specialty
Pharmacy

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