Individual
CHARLOTTE J GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2731 MARTIN LUTHER KING JR. BLVD, TUSCALOOSA, AL 35401-5235
(205) 345-1197
(205) 345-1570
Mailing address
2731 MARTIN LUTHER KING JR. BLVD, TUSCALOOSA, AL 35401-5235
(205) 345-1197
(205) 345-1570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11425
PHARMACIST LICENSE
AL
Enumeration date
04/05/2010
Last updated
04/05/2010
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