Individual
DWIGHT GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
205 WILLOW TRACE RD, WILLIAMSPORT, PA 17701-9212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP030965L
PA
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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