Most Relevant Information
Provider Data
| NPI Number: | 1003047077 |
| Provider Name: | DAVID A GOODMAN PHARM.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P0018X |
| Specialty: | Pharmacist |
| License Number: | 051132-1 |
Most Important Dates
| Enumeration Date: | 08/07/2009 |
| Last Updated: | 08/07/2009 |
Provider Practice Location
76 VETERANS AVE
PHARMACY DEPT (119)
BATH
NY
148100810
Practice Location Phone/Fax
| Phone: | 6076644469 |
| Fax: | 6076644478 |
Provider Mailing Location
76 VETERANS AVE
PHARMACY DEPT (119)
BATH
NY
148100810
Provider Mailing Phone/Fax
| Phone: | 6076644469 |
| Fax: | 6076644478 |