Individual
BEVERLY GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 WILLOW ST. PIKE, WILLOW ST., PA 17584
(717) 464-1720
Mailing address
2600 WILLOW ST. PIKE, WILLOW ST., PA 17584
(717) 464-1720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-045703L
PA
183500000X
Pharmacist
RP-1002009
PA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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