Individual
JOSEPH JOHN GAUGHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 3RD ST, DUNMORE, PA 18512-2849
(570) 209-7440
Mailing address
617 3RD ST, DUNMORE, PA 18512-2849
(570) 209-7440
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP450665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP450665
PHARMACY LICENSE
PA
Enumeration date
11/06/2018
Last updated
11/06/2018
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