Individual
DEIDRA GOSLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
5455 CLYDE PARK AVE SW, WYOMING, MI 49509-9722
(616) 530-5525
Mailing address
5455 CLYDE PARK AVE SW, WYOMING, MI 49509-9722
(616) 530-5525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037547
MI
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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