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NPI Code Detail

MEDICARE: MADALYN RAYE GODINHO PHARMD

MEDICARE: MADALYN RAYE GODINHO PHARMD
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
1183500000XPharmacistPH61181753WA

General Provider Information

NPI Number : 1952052623
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADALYN RAYE GODINHO PHARMD
Provider Business Mailing Address
First Line : 253 CHAPMAN RD
Second Line :
City : CASTLE ROCK
State : WA
Zip : 98611-9658
Country : US
Telephone Number : 360-749-4826
Fax Number :
Provider Business Practice Location Address
First Line : 1615 DELAWARE ST
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2367
Country : US
Telephone Number : 360-414-2000
Fax Number : 360-442-6843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2022
Last Update Date : 05/23/2022

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Directions to “ MADALYN RAYE GODINHO PHARMD” Practice Location

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