1629346564

Everything you always wanted to know about GOODSON KEVIN but were afraid to ask.

GOODSON KEVIN

You can also download the this 1629346564 data report as csv | excel | json | xml
Provider Last Name Provider First Name
GOODSON KEVIN
Gender:
Male
Enumeration date:
2011-12-07
Last update date:
2011-12-07
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
183500000X Pharmacist FL PS26801 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 8504785241
Practice Location Address Fax Number 8504785427

Addresses

Type Address City State Postal Country
Mailing Address 1841 E OLIVE RD PENSACOLA FL 0 FL
Practice Location Address 1841 E OLIVE RD PENSACOLA FL 0 FL

Other NPI Records that share a phone number

NPI Name Address State City
1063780989 BOSWELL, AMY
Individual
1841 E OLIVE RD FL PENSACOLA
1447363262 WALGREEN CO.
Organization
1841 E OLIVE RD FL PENSACOLA

Other NPI Records that share an address

NPI Name Address State City
1063780989 BOSWELL, AMY
Individual
1841 E OLIVE RD FL PENSACOLA
1447363262 WALGREEN CO.
Organization
1841 E OLIVE RD FL PENSACOLA