Individual provider · Type 1 NPI
Ethan Matthew Gonzales
Pharmacy Technician · Lakeway, TX
NPI number
1740879170
Active
Practice location
2000 Ranch Road 620 S Ste A
Lakeway, TX 78734-6412
Mailing address
1107 Deepwoods Trl
Leander, TX 78641-8602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician Primary | 183700000X | 258401 (TX) |
Pharmacy Technician: A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
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About NPI 1740879170
Ethan Matthew Gonzales's National Provider Identifier is 1740879170, issued on Jan 11, 2021. The primary taxonomy on file is Pharmacy Technician (183700000X), and the practice location is in Lakeway, TX. The record was last updated on Jan 11, 2021.