Amanda Marie Goodall, PHARMD

NPI #1578162954 in Portage, Wisconsin

Provider Information

NPI Number
1578162954
Entity Type
Individual
Name
Amanda Marie Goodall, PHARMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Credential
PHARMD
Enumeration Date
Oct 18, 2020
Last Updated
Oct 18, 2020

Practice Location

Address
2950 NEW PINERY RD
ZIP Code
53901-9225
Phone
(608) 742-1670

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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