Individual
MARISSA GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-2025
Mailing address
600 MARSHALL RD, SUPERIOR, CO 80027-9730
(720) 587-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0023485
CO
183500000X
Pharmacist
S024277
AZ
Other
Enumeration date
09/16/2019
Last updated
05/01/2022
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