Douglas Gossen, R.PH. Valid NPI
Individual provider · Pharmacist · Minooka, IL
- NPI
- 1972769321
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051035801 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-08-05
- Last updated
- 2008-08-05
Practice location
2051 Ridge Rd
Minooka, IL 60447-8801
(815) 467-1254