Individual
ALBERT HENRY GOODIN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
281 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5045
(772) 340-0446
Mailing address
5456 NW COMER ST, PORT ST LUCIE, FL 34986-4013
(772) 577-1210
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS15964
FL
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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