Individual
MATTHEW GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 929-2584
(423) 512-2717
Mailing address
1500 W ELK AVE, ELIZABETHTON, TN 37643-2654
(423) 929-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
47320
TN
Other
Enumeration date
05/09/2023
Last updated
08/15/2023
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