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NPI Code Detail

MEDICARE: GARRETT EDWARD GOODE PHARM.D.

MEDICARE:   GARRETT EDWARD GOODE  PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist53666TX

General Provider Information

NPI Number : 1184057259
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT EDWARD GOODE PHARM.D.
Provider Business Mailing Address
First Line : 3529 N HILLS DR
Second Line : APT. A
City : AUSTIN
State : TX
Zip : 78731-3200
Country : US
Telephone Number : 903-237-8621
Fax Number :
Provider Business Practice Location Address
First Line : 3420 EXECUTIVE CENTER DR
Second Line : SUITE 100
City : AUSTIN
State : TX
Zip : 78731-1624
Country : US
Telephone Number : 512-343-1060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2013
Last Update Date : 08/13/2013

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Directions to “ GARRETT EDWARD GOODE PHARM.D.” Practice Location

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