Individual
DARRELL HARRISON GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
2109 E VICTORY DR, SAVANNAH, GA 31404-3917
(912) 352-2658
Mailing address
20 HANGING MOSS RD., SAVANNAH, GA 31410-1524
(912) 897-4691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH010467
GA
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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