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Organization
R L GOFF ENTERPRISES, INC
Active
Organization
R L GOFF ENTERPRISES, INC
Active
Other names
Forest Grove Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY LOUIS GOFF RPH (PRESIDENT)
(503) 357-7171
Entity
Organization
Contact information
Practice address
2305 PACIFIC AVE, FOREST GROVE, OR 97116-2449
(503) 357-7171
(503) 357-7696
Mailing address
2305 PACIFIC AVE, FOREST GROVE, OR 97116-2449
(503) 357-7171
(503) 357-7696
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0000209CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025239
—
OR
01
—
3800035
NCPDP
—
01
—
RP0000209CS
STATE BOARD LICENSE
OR
Enumeration date
07/08/2006
Last updated
07/21/2022
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