Individual
JESSICA FAY GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
127 E RANDOLPH AVE, ENID, OK 73701-4103
(580) 233-2152
(580) 233-2168
Mailing address
127 E RANDOLPH AVE, ENID, OK 73701-4103
(580) 233-2152
(580) 233-2168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15766
OK
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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