Healthcare Provider Details

I. General information

NPI: 1952205098
Provider Name (Legal Business Name): DEBRA GOFF PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5605 LAKE SHORE AVE
WESTERVILLE OH
43082-8174
US

IV. Provider business mailing address

5605 LAKE SHORE AVE
WESTERVILLE OH
43082-8174
US

V. Phone/Fax

Practice location:
  • Phone: 614-270-4954
  • Fax:
Mailing address:
  • Phone: 614-270-4954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number03215311
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: