NPI | 1457937773 |
---|---|
Doing Business As | GOODRICH PHARMACY LTC |
Entity Type | Organization |
Authorized Contact | CORY MIDDENDORF Pharmacist In Charge 763-421-5540 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2021-03-18 |
Last Update Date | 2023-07-06 |