Individual
MR. JOHN GLEN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
15986 STATE ROUTE 56, LAURELVILLE, OH 43135
(740) 332-1833
(740) 332-1933
Mailing address
PO BOX 97, LAURELVILLE, OH 43135-0097
(740) 332-1833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03319865
OH
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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