Individual
ALICIA GOOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 23RD AVE, BOZEMAN, MT 59718-3965
(406) 539-0648
Mailing address
659 WESTGATE AVE APT A, BOZEMAN, MT 59718-6588
(406) 539-0648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-88775
MT
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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