Individual
DANIEL GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
708 S WASHINGTON ST, GRAND FORKS, ND 58201-4328
(701) 746-0497
(701) 746-7908
Mailing address
3601 20TH AVE S, GRAND FORKS, ND 58201-5731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4714
ND
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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