Individual
EDWARD GOODOVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1721 TAUSSIG BLVD., NORFOLK, VA 23511
(757) 314-6397
Mailing address
210 72ND ST, VIRGINIA BEACH, VA 23451-2013
(757) 428-4181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004101
VA
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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