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NPI Code Detail

MEDICARE: MS. HEATHER CHRISTINA GODIN PHARM D.

MEDICARE: MS. HEATHER CHRISTINA GODIN 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
1183500000XPharmacist053619NY

General Provider Information

NPI Number : 1699097949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEATHER CHRISTINA GODIN PHARM D.
Provider Business Mailing Address
First Line : 1318 LONDON SQUARE DR
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-3718
Country : US
Telephone Number : 413-329-3673
Fax Number :
Provider Business Practice Location Address
First Line : 839 ROUTE 146
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065-3861
Country : US
Telephone Number : 518-371-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2010
Last Update Date : 02/26/2010

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