Individual
BRUCE R GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2321 E NEFFS LN, SALT LAKE CITY, UT 84109-3414
(801) 278-0758
Mailing address
2321 E NEFFS LN, SALT LAKE CITY, UT 84109-3414
(801) 278-0758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
291784-1701
UT
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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