Individual
DR. CASEY JOHN GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
109 S MAIN ST, MILBANK, SD 57252-1806
(605) 432-5542
Mailing address
109 S MAIN ST, MILBANK, SD 57252-1806
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6581
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6581
SOUTH DAKOTA BOARD OF PHARMACY
SD
Enumeration date
06/20/2018
Last updated
06/20/2018
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