Organization
W H GOODALE CO
Active
Other names
GOODALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PERGOLA (PRESIDENT)
(973) 366-0976
Entity
Organization
Contact information
Practice address
16 N SUSSEX ST, DOVER, NJ 07801-3958
(973) 366-0976
(973) 366-3127
Mailing address
16 N SUSSEX ST, DOVER, NJ 07801-3958
(973) 366-0976
(973) 366-3127
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00531900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054191
PK
—
05
—
7139608
—
NJ
Enumeration date
09/20/2006
Last updated
04/04/2017
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