Individual
MS. LISA ANNETTE GOODLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
301 S HIGHWAY 127, RUSSELL SPRINGS, KY 42642-4559
(270) 866-7166
Mailing address
301 S HIGHWAY 127, RUSSELL SPRINGS, KY 42642-4559
(270) 866-7166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010075
KY
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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