Individual
JANA B GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
608 W MAIN ST, AMERICAN FORK, UT 84003-9762
(801) 756-5997
Mailing address
2944 W BISON RIDGE RD, SOUTH JORDAN, UT 84095-5067
(801) 641-6952
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58259471701
UT
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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