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Organization

GOLDEN PHARMACY,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFFORD D GOODMAN II RPH (OWNER/PHARMACIST)
(850) 674-4557
Entity
Organization

Contact information

Practice address
17324 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-4557
(850) 674-4568
Mailing address
17324 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-4557
(850) 674-4568

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH11672
FL
333600000X
Pharmacy
Primary
PH11672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101195200
FL
01
1067190
NABP
FL
Enumeration date
09/26/2006
Last updated
05/16/2008
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