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NPI Code Detail

MEDICARE: EMILY SUZANNE GOSHORN PHARM D

MEDICARE: EMILY SUZANNE GOSHORN PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist012693KY

General Provider Information

NPI Number : 1932757564
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SUZANNE GOSHORN PHARM D
Provider Business Mailing Address
First Line : 5805 GRANITE SPRING DR
Second Line :
City : COLD SPRGS HIGHLAND HTS
State : KY
Zip : 41076-7103
Country : US
Telephone Number : 859-380-6253
Fax Number :
Provider Business Practice Location Address
First Line : 6711 ALEXANDRIA PIKE
Second Line :
City : ALEXANDRIA
State : KY
Zip : 41001-1025
Country : US
Telephone Number : 859-635-8822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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