Individual
ANDREW GOSNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2795 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8715
(336) 778-2452
Mailing address
1079 STAFFORD PLACE CIR, APARTMENT 202, WINSTON SALEM, NC 27127-6876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24232
NC
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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