Individual
JAMIE M GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 NE 81ST ST, VANCOUVER, WA 98665-8111
(360) 574-8824
Mailing address
408 NE 81ST ST, VANCOUVER, WA 98665-8111
(360) 574-8824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60185155
WA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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