Individual
JENNY GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 COOPER ST, DEPTFORD, NJ 08096-2598
(856) 848-5402
Mailing address
192 CHANCELLOR DR, DEPTFORD, NJ 08096-5155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02737000
NJ
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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