MEDICARE: MR. HAROLD N. GODWIN RPH

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
1	183500000X	Pharmacist	8808	KS

General Provider Information

NPI Number	:	1093711863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HAROLD N. GODWIN RPH

Provider Business Mailing Address
First Line	:	10112 W 98TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66212-5238
Country	:	US
Telephone Number	:	913-888-4872
Fax Number	:	913-588-2355

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	913-588-2399
Fax Number	:	913-588-2355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	07/08/2007

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