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Individual

DAVID A GOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
73 N MAIN ST, BROCKPORT, NY 14420-1648
(585) 637-1151
Mailing address
73 N MAIN ST, BROCKPORT, NY 14420-1648

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049654
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01259003
NY
Enumeration date
01/24/2008
Last updated
01/24/2008
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