Individual
MR. BERNARD T. GOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
4823 S HIGHWAY 95, FORT MOHAVE, AZ 86426-8314
(928) 704-4443
(928) 704-1684
Mailing address
4823 S HIGHWAY 95, FORT MOHAVE, AZ 86426-8314
(928) 704-4443
(928) 704-1684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S11942
AZ
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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