Individual
DR. JERICA L GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4500 S LANCASTER RD # 119C, DALLAS, TX 75216-7167
(214) 742-8387
(214) 302-1403
Mailing address
1407 LEVEE LN, CEDAR HILL, TX 75104-4009
(469) 272-7998
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
41233
TX
1835P1200X
Pharmacotherapy Pharmacist
PS36165
FL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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