Individual
DR. STEPHANIE MARIE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
124 W VOTAW ST, PORTLAND, IN 47371-1143
(260) 726-2049
Mailing address
124 W VOTAW ST, PORTLAND, IN 47371-1143
(260) 726-2049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26023674A
IN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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