GRANTLAN LAYTON GOODALE

BRYAN, TX
NPI1245647478
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TX  54971)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- GRANTLAN LAYTON GOODALE PharmD, RPh
610 E VILLA MARIA RD
BRYAN, TX 77802-5335
Phone number: 979-776-9128
Mailing Address
-- GRANTLAN LAYTON GOODALE PharmD, RPh
610 E VILLA MARIA RD
BRYAN, TX 77802-5335
Phone number: 979-776-9128