Individual
RICHARD JOHN GORGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 826-7702
Mailing address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 826-7702
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RP030048L
PA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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