Individual
SANDRA A GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
15 PRESERVE DR, NASHUA, NH 03064-8106
(603) 577-9650
Mailing address
15 PRESERVE DR, NASHUA, NH 03064-8106
(603) 577-9650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2489
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2489
NH LICENSE #
NH
Enumeration date
05/09/2007
Last updated
07/08/2007
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