Individual
DAN GOOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 PACIFIC AVE, WOODLAND, WA 98674-8481
(360) 225-4375
Mailing address
1725 PACIFIC AVE, WOODLAND, WA 98674-8481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00016033
WA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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