Individual
CLIFFORD DOWLING GOODMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17324 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-4557
(850) 674-4568
Mailing address
17324 MAIN ST N, BLOUNTSTOWN, FL 32424-1763
(850) 674-8429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS12630
FL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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