Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD JOHN GOENNER
Active Sole ProprietorPharmacist Clinician (PhC) · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1548678550
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2014 (11.764911991679 yrs)
- Last Updated
- Jul 23, 2014
- License
-
118070 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1811 OLD HIGHWAY 8 NWNEW BRIGHTON, MN, 551121828Browse MN providers · Browse ZIP 55112
- Phone
- 6516390608
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.