Individual
SCOTT ERROL GOODMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2708 BRIDGE AVE, ALBERT LEA, MN 56007-2077
(507) 373-1899
Mailing address
1333 CRESTVIEW RD, ALBERT LEA, MN 56007-3542
(507) 373-8629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111775
MN
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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