Individual
MR. MICHAEL JOHN GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
5880 STATE HIGHWAY 67 SOUTH, FLORENCE, CO 81226
(719) 784-5156
(719) 784-5171
Mailing address
1862 COOPER TRAIL, CANON CITY, CO 81212
(719) 276-2917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10978
OK
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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