Individual
MR. GARRY L GODDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
444 N 44TH ST STE 400, PHOENIX, AZ 85008-7629
(602) 629-1584
(602) 914-5906
Mailing address
404 S PORT DR, GILBERT, AZ 85233-6715
(404) 275-5571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14661
AZ
183500000X
Pharmacist
5216
CT
183500000X
Pharmacist
RP043822R
PA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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