Individual
ALLISON CAROLINE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
12550 PROFESSIONAL PARK DR, FORT MYERS, FL 33913-7979
(239) 482-0050
Mailing address
17672 HOLLY OAK AVE, FORT MYERS, FL 33967-5141
(610) 739-6974
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52477
FL
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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