Individual
MRS. ELIZABETH WILEY GOODWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 ANDERSON HWY, POWHATAN, VA 23139-7508
(804) 598-5028
(804) 598-6117
Mailing address
2419 ACADEMY RD, POWHATAN, VA 23139-5821
(804) 598-3458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202009921
VA
Other
Enumeration date
02/15/2007
Last updated
11/23/2020
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