Organization
GOODWILL PHARMACY INC
Active
Other names
Goodwill Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMPRAKASH NARAYANAKUMAR (DIRECTOR)
(724) 202-6297
Entity
Organization
Contact information
Practice address
2602 WILMINGTON RD, # 100, NEW CASTLE, PA 16105-1537
(724) 202-6297
Mailing address
2602 WILMINGTON RD, # 100, NEW CASTLE, PA 16105-1537
(724) 202-6297
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP482104
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3995240
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/01/2011
Last updated
04/01/2011
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