Individual
ROBERT M GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
436 RETAIL COMMONS PKWY, T-2538, MARTINSBURG, WV 25403-6183
(304) 264-5201
(304) 264-5201
Mailing address
436 RETAIL COMMONS PARKWAY, T-2538, MARTINSBURG, WV 25403
(304) 264-5201
(304) 264-5201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0004962
WV
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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