Individual
DENNIS CHARLES GOODSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(717) 304-3986
Mailing address
760 S 15TH ST, PHILADELPHIA, PA 19146-2280
(717) 304-3986
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RP451761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP451761
PHARMACIST LICENSE NUMBER
PA
Enumeration date
08/23/2022
Last updated
08/23/2022
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