Individual
STEPHANIE AMBER GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
412 BROAD STREET, LYNDONVILLE, VT 05851
(802) 626-4366
(802) 626-4370
Mailing address
P.O. BOX 323, LYNDON CENTER, VT 05850
(802) 274-9027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
033.0117592
VT
183500000X
Pharmacist
PH234363
MA
183500000X
Pharmacist
Primary
RPH05115
RI
Other
Enumeration date
07/28/2016
Last updated
12/28/2022
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