Individual
ANDREW DUANE GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
736 REDWOOD DR, CANAL FULTON, OH 44614-9332
(330) 309-0197
Mailing address
736 REDWOOD DR, CANAL FULTON, OH 44614-9332
(330) 309-0197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03122391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3303090197
—
OH
Enumeration date
10/14/2022
Last updated
10/14/2022
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