Individual
JENNIFER GOEDKOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 ROUTE 66, OCEAN, NJ 07712-3961
(732) 918-7812
(732) 481-4851
Mailing address
2331 ROUTE 66, OCEAN, NJ 07712-3961
(732) 918-7812
(732) 481-4851
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW00645900
NJ
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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