Individual
BRADFORD KEITH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
225 HWY 30 W, NEW ALBANY, MS 38652
(662) 534-8044
Mailing address
225 HWY 30 W, NEW ALBANY, MS 38652
(662) 534-8044
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-13914
MS
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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