Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK WAYNE GOUDEAU, RPH
Active Sole ProprietorPharmacist · EL DORADO, AR
Registration Details
- NPI Number
- 1558535310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2008 (18.020923727035 yrs)
- Last Updated
- Apr 14, 2008
- Licenses
-
PD09279 (AR)14334 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
220 S WEST AVEEL DORADO, AR, 717305934Browse AR providers · Browse ZIP 71730
- Phone
- 8708637669
- Fax
- 8708634045
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in EL DORADO, AR
| Name | Credential | NPI |
|---|---|---|
| DR. CANDACE SUZANNE CRAWFORD | PHARM.D. | 1770570384 |
| THOMAS MELVIN SKEELES | — | 1902988587 |
| MR. ELI VINSON | PHARM.D. | 1437300860 |
| JOHN SCOTT BUTTERFIELD | PD | 1154604247 |
| LENORA S NEWSOME | P.D. | 1972888923 |
| KIMBERLY DAWN RIEGER | PHARM.D. | 1437435476 |
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.