Individual
MS. BARBARA A GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH,M.S.
Contact information
Practice address
1094 RIBAUT RD, BEAUFORT, SC 29902-5437
(843) 524-3777
(843) 524-3776
Mailing address
61 SUNSET BLVD, BEAUFORT, SC 29907-1416
(912) 655-9080
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3420
SC
183500000X
Pharmacist
4223436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571089983
TAX IDENTIFICATION NUMBER
SC
05
—
DE1808
—
SC
Enumeration date
02/07/2006
Last updated
09/28/2021
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