Individual
TIMOTHY GOODHALL X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3330 MARTIN LUTHER KING JR PKWY, DES MOINES, IA 50310-5672
(515) 255-6213
(515) 255-8806
Mailing address
3330 MARTIN LUTHER KING JR PKWY, DES MOINES, IA 50310-5672
(515) 255-6213
(515) 255-8806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20010
IA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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