Individual
MR. DONALD W GOETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1105 MICHIGAN AVE, OROFINO, ID 83544-2625
(208) 476-5727
(208) 476-4045
Mailing address
PO BOX 2625, 1105 MICHIGAN AVE, OROFINO, ID 83544-2625
(208) 476-3569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P3809
ID
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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