Individual
GONZALO HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
1 MEDICAL CENTER BLVD, PHARMACY DEPARTMENT, COOKEVILLE, TN 38501-4294
(931) 783-2682
Mailing address
1 MEDICAL CENTER BLVD, PHARMACY DEPARTMENT, COOKEVILLE, TN 38501-4294
(931) 783-2682
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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