Individual
DR. ROBERT CARROLL GOODMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., BCPS
Contact information
Practice address
908 WALLACE AVE, SUITE 105, MIDWAY PHARMACY, LEITCHFIELD, KY 42754-1479
(270) 259-8400
(270) 230-8517
Mailing address
908 WALLACE AVE, SUITE 105, MIDWAY PHARMACY, LEITCHFIELD, KY 42754-1479
(270) 259-8400
(270) 230-8517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009475
PHARMACIST LICENSE
KY
Enumeration date
01/18/2007
Last updated
07/08/2007
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