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1134508187
TIMOTHY GOODHALL
DES MOINES, IA
NPI
1134508187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 20010)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- TIMOTHY GOODHALL PharmD
3330 MARTIN LUTHER KING JR PKWY
DES MOINES, IA 50310-5672
Phone number: 515-255-6213
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Mailing Address
-- TIMOTHY GOODHALL PharmD
3330 MARTIN LUTHER KING JR PKWY
DES MOINES, IA 50310-5672
Phone number: 515-255-6213
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