Individual
BENJAMIN DAVID GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
525 GLEN IRIS DR NE UNIT 2408, ATLANTA, GA 30308-2974
(402) 517-2249
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13168
NE
Other
Enumeration date
06/12/2010
Last updated
06/12/2010
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