Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA MARIE GOODALL, PHARMD
Active Sole ProprietorAMANDA MARIE GOODALL, PHARMD is a Long-Term Care Pharmacy healthcare provider located in PORTAGE, Wisconsin. NPI 1578162954 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · PORTAGE, WI
Registration Details
- NPI Number
- 1578162954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2020 (5.8339971845267 yrs)
- Last Updated
- Oct 18, 2020
- License
-
18793-40 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2950 NEW PINERY RDPORTAGE, WI, 539019225Browse WI providers · Browse ZIP 53901
- Phone
- 6087421670
- Fax
- 6087421769
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
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.