Individual
MARY ELLEN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
15046 MARKET ST, BATON ROUGE, LA 70817-1384
(225) 753-2700
Mailing address
7009 LAKE COMITE DR, BATON ROUGE, LA 70818-6716
(225) 261-1619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11047
LA
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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