Individual
GONZALO HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000044223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
615195
NABP E-PROFILE NUMBER
TN
Enumeration date
07/15/2014
Last updated
07/30/2014
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