Individual
MATTHEW GOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1377 NE STEPHENS ST, ROSEBURG, OR 97470-1492
(541) 672-1509
Mailing address
1377 NE STEPHENS ST, ROSEBURG, OR 97470-1492
(541) 672-1509
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0003568
OR
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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