Individual
MR. GREGORY LARKIN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NRPH
Contact information
Practice address
612 N MAIN ST, SUITE A, ENTERPRISE, AL 36330-1775
(334) 393-0086
(334) 393-0206
Mailing address
PO BOX 154, DALEVILLE, AL 36322-0154
(334) 347-2449
(334) 393-0206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10553
AL
1835N0905X
Nuclear Pharmacist
10553
AL
Other
Enumeration date
06/01/2007
Last updated
05/13/2016
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