Individual
MRS. ERIN LYNN GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16 GLENVIEW LN, FESTUS, MO 63028-4678
(636) 208-5696
Mailing address
16 GLENVIEW LN, FESTUS, MO 63028-4678
(636) 208-5696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004032895
MO
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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