Individual
COREEN H GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2150 N ARIZONA AVE, T-0252, CHANDLER, AZ 85225-3418
(480) 899-6872
(480) 899-6872
Mailing address
2150 N. ARIZONA AVENUE, T-0252, CHANDLER, AZ 85225
(480) 899-6872
(480) 899-6872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S018148
AZ
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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