Individual
CARLIE GOODREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 BOSTON RD, SPRINGFIELD, MA 01129-1128
(413) 543-0638
Mailing address
1440 BOSTON RD, SPRINGFIELD, MA 01129-1128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240018
MA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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