Amanda Marie Goodall, PHARMD Valid NPI

Individual provider · Community/Retail Pharmacy · Portage, WI

NPI

1578162954

Type

Individual (Type 1)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

License number

18793-40 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2020-10-18

Last updated

2020-10-18