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Individual

MR. MICHAEL STEPHEN GOEING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
107 KY ROUTE 306, BYPRO, KY 41612-9711
(606) 452-4134
(606) 452-4211
Mailing address
107 KY ROUTE 306, BYPRO, KY 41612-9711
(606) 452-4134
(606) 452-4211

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
007458
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100324200
KY
Enumeration date
09/07/2016
Last updated
09/07/2016
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