Individual
MR. CHARLES LOWELL GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15 JAMES DR, HAWTHORN WOODS, IL 60047-9232
(847) 540-7418
Mailing address
15 JAMES DR, HAWTHORN WOODS, IL 60047-9232
(847) 540-7418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0051-036119
IL
183500000X
Pharmacist
27996
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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