Grantlan Layton Goodale, PHARMD, RPH

NPI #1245647478 in Bryan, Texas

Provider Information

NPI Number: 1245647478
Entity Type: Individual
Name: Grantlan Layton Goodale, PHARMD, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD, RPH
Enumeration Date: Jul 21, 2014
Last Updated: Jul 21, 2014

Practice Location

Address: 610 E VILLA MARIA RD
City: Bryan
State: Texas
ZIP Code: 77802-5335
Phone: (979) 776-9128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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