Healthcare Provider Details

I. General information

NPI: 1295876233
Provider Name (Legal Business Name): JAMES A. GOOD R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 09/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 PACIFIC AVE PHARMACY
TACOMA WA
98408-7128
US

IV. Provider business mailing address

816 QUEENS ST UNIT D
MILTON WA
98354-8880
US

V. Phone/Fax

Practice location:
  • Phone: 253-475-6073
  • Fax: 253-475-6082
Mailing address:
  • Phone: 406-459-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number3321
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH 60191326
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: