CARLY GOSTANIAN
Individual Provider (NPI-1)
Active
Pharmacy
Provider Information
- NPI Number
1740776319- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3862 RIVER RD N, KEIZER, OR, 973034866
- Phone
- (503) 371-6717
Specialties & Taxonomies
Pharmacy
Primary License: OR #PI-0012993