Individual
ANDREW RAYMOND GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3940 4TH AVE STE 150, SAN DIEGO, CA 92103-7193
(619) 574-9700
Mailing address
768 MICHIGAN AVE APT 303, COLUMBUS, OH 43215-1954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03438640
OH
183500000X
Pharmacist
20561
NV
183500000X
Pharmacist
Primary
82588
CA
Other
Enumeration date
07/30/2019
Last updated
07/13/2021
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