Individual
MALCOLM N. GOODWIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
205 COLTSFOOT CT, SIMPSONVILLE, SC 29680-7223
(864) 322-3610
Mailing address
205 COLTSFOOT CT, SIMPSONVILLE, SC 29680-7223
(864) 322-3610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11781
SC
183500000X
Pharmacist
22785
NC
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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