Individual
DONNA GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2338 N CLARK ST, CHICAGO, IL 60614-3423
(773) 360-8595
Mailing address
2726 N HARTLAND CT, CHICAGO, IL 60614-9263
(312) 659-4475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038262
IL
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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