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Individual

MS. SALLY LYNNE GOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
2622 W CENTRAL AVE, SUITE 302, WICHITA, KS 67203-4969
(316) 265-3300
(316) 265-3304
Mailing address
2622 W CENTRAL AVE, SUITE 302, WICHITA, KS 67203-4969
(316) 265-3300
(316) 265-3304

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
9677
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
709829
NABP
KS
Enumeration date
05/16/2016
Last updated
05/16/2016
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