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Individual

MR. JAMES DAVID GOODMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
526 ROBINSON DR, CLEVELAND, MS 38732-2214
(662) 843-1810
(662) 846-2999
Mailing address
526 ROBINSON DR, CLEVELAND, MS 38732-2214
(662) 843-1810
(662) 846-2999

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R06513
MS

Other

Enumeration date
12/05/2011
Last updated
12/05/2011
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