Individual
MR. DAVID J GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
1405 E VENICE AVE, VENICE, FL 34292-3064
(941) 488-8122
(941) 488-8130
Mailing address
1405 E VENICE AVE, VENICE, FL 34292-3064
(941) 488-8122
(941) 488-8130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS15965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS15965
PHARMACIST
FL
Enumeration date
12/22/2011
Last updated
12/22/2011
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