Individual
DR. THOMAS WAYNE GOODIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1802 S MAIN ST, CORBIN, KY 40701-2446
(606) 258-1509
Mailing address
83 WOODHILLS EST, CORBIN, KY 40701-3801
(606) 521-1368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012778
KY
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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