IndividualActive
Matthew Gouge, PHARMD
NPI 1508556077 · Ambulatory Care Pharmacist · Elizabethton, TN
Provider details
- NPI number
- 1508556077
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 47320 (TN)
Practice location
1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone: (423) 929-2584
Fax: (423) 512-2717
Mailing address
1500 W Elk Ave
Elizabethton, TN 37643-2654
Registry dates
- Enumerated
- 2023-05-09
- Last updated
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.