Individual
MRS. EDIE B GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3111 BROWNS MILL RD, JOHNSON CITY, TN 37604-1418
(423) 282-9484
(423) 282-8553
Mailing address
3111 BROWNS MILL RD, JOHNSON CITY, TN 37604-1418
(423) 282-9484
(423) 282-8553
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
TN8507
TN
Other
Enumeration date
01/17/2018
Last updated
06/16/2018
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