Individual
MR. RICHARD ALAN GAUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 W BENNETT AVE, COUNCIL BLUFFS, IA 51503-5179
(712) 325-0619
Mailing address
30776 STATE LN, NEOLA, IA 51559-6072
(712) 485-2259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14543
IA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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