Individual
AMY JO GOODLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1530 WALMART DR, LEBANON, OH 45036-7342
(513) 932-6210
(513) 932-6431
Mailing address
1530 WALMART DR, LEBANON, OH 45036-7342
(513) 932-6210
(513) 932-6431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03323961
OH
183500000X
Pharmacist
26019622A
IN
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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