Individual
STASHA GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Mailing address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2113
AK
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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