| NPI | 1174635171 |
|---|---|
| Doing Business As | GOODRICH PHARMACY ELK RIVER |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE DAVIS Owner 763-421-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MN 265080) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-07-06 |