Organization
GOODSON DRUG CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L. GOODSON JR. RPH (OWNER)
(770) 887-5040
Entity
Organization
Contact information
Practice address
116 W MAPLE ST, CUMMING, GA 30040-2634
(770) 887-5040
(770) 887-1699
Mailing address
116 W MAPLE ST, CUMMING, GA 30040-2634
(770) 887-5040
(770) 887-1699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE003113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00028476A
—
GA
Enumeration date
10/27/2006
Last updated
02/11/2008
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