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Individual

TAMI GOODBUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9812 LINN STATION RD, LOUISVILLE, KY 40223-3807
(502) 327-6377
Mailing address
6706 WILD FOX LN, PROSPECT, KY 40059-9479
(502) 930-2077

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
009842
KY

Other

Enumeration date
10/21/2020
Last updated
10/21/2020
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