Jacob Luis Goudy, PHARMD

NPI #1790379915 in North Salt Lake, Utah

Provider Information

NPI Number: 1790379915
Entity Type: Individual
Name: Jacob Luis Goudy, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 28, 2021
Last Updated: Feb 28, 2021

Practice Location

Address: 669 W 900 N
City: North Salt Lake
State: Utah
ZIP Code: 84054-2602
Phone: (888) 222-2956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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