Individual
JEANIE E GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
200A TRAMWAY BLVD SE, ALBUQUERQUE, NM 87123-3934
(505) 301-1027
(505) 822-1889
Mailing address
10927 PASQUALE DR NW, ALBUQUERQUE, NM 87114-5576
(505) 301-1027
(505) 822-1889
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5221
NM
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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