Individual
KACI LAUREN GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 MITT LARY RD, NORTHPORT, AL 35475-4766
(205) 339-0415
Mailing address
2931 ALCOA HWY, KNOXVILLE, TN 37920-4790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22154
AL
183500000X
Pharmacist
45361
TN
Other
Enumeration date
09/29/2021
Last updated
08/06/2026
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