Individual
GERALD GOODFRIEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
24477 KERCHEVAL ST, SHERIDAN, IN 46069-9472
(419) 574-2003
Mailing address
24477 KERCHEVAL ST, SHERIDAN, IN 46069-9472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030948A
IN
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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