Individual
MARK J GOOD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 WEST MCCLANE ST., OSCEOLA, IA 50213
(641) 342-2125
Mailing address
2145 SE CRABAPPLE CT, WAUKEE, IA 50263-9550
(515) 570-4106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16564
IA
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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