Individual
MS. JACQUELINE MCGOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, BCPP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS 22359
FL
1835P1300X
Psychiatric Pharmacist
Primary
PS 22359
FL
Other
Enumeration date
08/23/2006
Last updated
10/27/2007
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