Individual
MR. JOHN BRENTON GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
725 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2454
(719) 219-0230
(719) 219-0236
Mailing address
725 W BAPTIST RD, COLORADO SPRINGS, CO 80921-2454
(719) 219-0230
(719) 219-0236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20658
CO
183500000X
Pharmacist
PD09074
AR
Other
Enumeration date
08/08/2006
Last updated
01/04/2017
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