Individual
DR. BLAINE GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
223 E CLARK ST, PRINCETON, IN 47670-2109
(812) 215-0305
(812) 477-5275
Mailing address
223 E CLARK ST, PRINCETON, IN 47670-2109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025250A
IN
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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