Individual
KATHRYN ANN GOODFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. PH.
Contact information
Practice address
425 MEDICAL DR, SUITE 100, BOUNTIFUL, UT 84010-4945
(801) 295-3439
(801) 299-1696
Mailing address
425 MEDICAL DR, SUITE 100, BOUNTIFUL, UT 84010-4945
(801) 295-3439
(801) 299-1696
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
147599-1701
UT
Other
Enumeration date
02/06/2007
Last updated
04/03/2008
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