Goudeau, Mark Wayne
Goudeau, Mark Wayne is an sole proprietor health care provider with primary practice located at 220 S West Ave , El Dorado AR 71730-5934. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Goudeau, Mark Wayne can be contacted via phone (870) 863-7669.Contact Information
Primary practice address
220 S West Ave
El Dorado AR 71730-5934
Phone: (870) 863-7669
Fax: (870) 863-4045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PD09279 | Arkansas |
| Pharmacy Service Providers / Pharmacist | 183500000X | 14334 | Louisiana |
Profile Details
| NPI number | 1558535310 |
|---|---|
| LBN Legal business name | Goudeau, Mark Wayne |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2008 |
| Last updated | Apr 14th, 2008 - about 16 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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