Individual
MR. MARK T GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2809 NORTH AVE, GRAND JUNCTION, CO 81501-5105
(970) 243-4338
(970) 257-9551
Mailing address
2809 NORTH AVE, GRAND JUNCTION, CO 81501-5105
(970) 243-4338
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
9745
CO
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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