Provider Demographics
NPI:1275721128
Name:GOROSKI, DEAN T (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:T
Last Name:GOROSKI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10110 S 7650TH E
Mailing Address - Street 2:CROW/NORTHERN CHEYENNE HOSPITAL
Mailing Address - City:CROW AGENCY
Mailing Address - State:MT
Mailing Address - Zip Code:59022
Mailing Address - Country:US
Mailing Address - Phone:406-638-3578
Mailing Address - Fax:
Practice Address - Street 1:10110 S 7650TH E
Practice Address - Street 2:CROW/NORTHERN CHEYENNE HOSPITAL
Practice Address - City:CROW AGENCY
Practice Address - State:MT
Practice Address - Zip Code:59022
Practice Address - Country:US
Practice Address - Phone:406-638-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK17331835P1200X
MT39801835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy