Mason Goodman

NPI #1902387566 in Twin Falls, Idaho

Provider Information

NPI Number: 1902387566
Entity Type: Individual
Name: Mason Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 714 N COLLEGE RD STE A
City: Twin Falls
State: Idaho
ZIP Code: 83301-5812
Phone: (208) 420-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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