Individual
MS. JANELLE MARIE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
61155 S HWY 97, BEND, OR 97702-2523
(541) 382-5742
Mailing address
PO BOX 3055, SUNRIVER, OR 97707-0055
(541) 382-5742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009657
OR
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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