Healthcare Provider Details

I. General information

NPI: 1205131158
Provider Name (Legal Business Name): LANCE C. GOOD RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10661 N ORACLE RD
ORO VALLEY AZ
85737-9322
US

IV. Provider business mailing address

PO BOX 69944
ORO VALLEY AZ
85737-0024
US

V. Phone/Fax

Practice location:
  • Phone: 520-742-6667
  • Fax:
Mailing address:
  • Phone: 520-850-0786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS009981
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: