| 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 |