MEDICARE: DONALD LAMONT GOODE PHARM D

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	9503	NE

General Provider Information

NPI Number	:	1306993506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD LAMONT GOODE PHARM D

Provider Business Mailing Address
First Line	:	690 BARNES BLVD
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98438-1303
Country	:	US
Telephone Number	:	253-982-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 BARNES BLVD
Second Line	:	MCCHORD CLINIC
City	:	TACOMA
State	:	WA
Zip	:	98438
Country	:	US
Telephone Number	:	253-982-5577
Fax Number	:

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	08/25/2025

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