Phillip D Goodson in Dawsonville - Pharmacist
Phillip D Goodson - NPI 1457454720
Phillip D Goodson is a Pharmacist in Dawsonville, Georgia. Phillip D Goodson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Phillip D Goodson is 1457454720. The last update date is 2007-07-08.
Phillip D Goodson's current location address is Po Box 204, Dawsonville, Georgia. You can contact this provider via phone number 7062652020 and fax number 7062652987. The mailing address for Phillip D Goodson is Po Box 204, Dawsonville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip D Goodson |
|---|---|
| Address | Po Box 204, Dawsonville, Georgia |
| Phone Number | 7062652020 |
| Fax Number | 7062652987 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1457454720 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 204 |
|---|---|
| City | Dawsonville |
| State | Georgia (GA) |
| Post Code | 305340004 |
| Phone Number | 7062652020 |
| Fax Number | 7062652987 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH010965 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000119677A | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip D Goodson by the Centers for Medicare & Medicaid Services?
The Phillip D Goodson has been assigned the NPI (National Provider Identifier) 1457454720. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Phillip D Goodson?
The Phillip D Goodson is physically situated at Po Box 204, in the city of Dawsonville, state of GA, with the postal code 305340004.
What is Phillip D Goodson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phillip D Goodson's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date did the Phillip D Goodson receive the assignment of its 1457454720 from the Centers for Medicare & Medicaid Services?
The Phillip D Goodson was issued its 1457454720 by the Centers for Medicare & Medicaid Services on 2006-09-05.
When was the information related to Phillip D Goodson most recently updated or refreshed?
The details pertaining to the Phillip D Goodson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.