Goodman, Robert Carroll

Goodman, Robert Carroll is an individual health care provider with primary practice located at 908 Wallace Ave Suite 105, Midway Pharmacy, Leitchfield KY 42754-1479. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Goodman, Robert Carroll can be contacted via phone (270) 259-8400.

Contact Information

Primary practice address
908 Wallace Ave Suite 105, Midway Pharmacy Leitchfield KY 42754-1479
Phone: (270) 259-8400
Fax: (270) 230-8517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 009475 Kentucky

Profile Details

NPI number 1689727398
LBN Legal business name Goodman, Robert Carroll
Credentials PHARMD., BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689727398 NPPES
Kentucky Other 009475 PHARMACIST LICENSE

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