Mark Wayne Goudeau in El Dorado - Pharmacist
Mark Wayne Goudeau - NPI 1558535310
Mark Wayne Goudeau is a Pharmacist in El Dorado, Arkansas. Mark Wayne Goudeau practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark Wayne Goudeau is 1558535310. The last update date is 2008-04-14.
Mark Wayne Goudeau's current location address is 220 S West Ave, El Dorado, Arkansas. You can contact this provider via phone number 8708637669 and fax number 8708634045. The mailing address for Mark Wayne Goudeau is 220 S West Ave, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wayne Goudeau |
|---|---|
| Address | 220 S West Ave, El Dorado, Arkansas |
| Phone Number | 8708637669 |
| Fax Number | 8708634045 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1558535310 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 220 S West Ave |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717305934 |
| Phone Number | 8708637669 |
| Fax Number | 8708634045 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PD09279 |
|
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 |
|
Post Comment/ Review Below
What is the unique identification code assigned to Mark Wayne Goudeau by the Centers for Medicare & Medicaid Services?
The Mark Wayne Goudeau has been issued the NPI (National Provider Identifier) 1558535310. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Wayne Goudeau located?
The Mark Wayne Goudeau is located at 220 S West Ave, El Dorado, AR 717305934.
What is Mark Wayne Goudeau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark Wayne Goudeau is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
On what date was the 1558535310 assigned to Mark Wayne Goudeau?
The Mark Wayne Goudeau was issued its 1558535310 on 2008-04-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark Wayne Goudeau most recently updated or revised?
The information pertaining to Mark Wayne Goudeau, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-14.