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NPI Code Detail

MEDICARE: GOODWILL PHARMACY INC.

MEDICARE: GOODWILL PHARMACY INC.
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1447728373
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOODWILL PHARMACY INC.
Provider Business Mailing Address
First Line : 2610 S. JONES BLVD
Second Line : SUITE 3
City : LAS VEGAS
State : NV
Zip : 89146-5663
Country : US
Telephone Number : 702-213-3102
Fax Number : 702-940-7580
Provider Business Practice Location Address
First Line : 2610 S. JONES BLVD
Second Line : SUITE 3
City : LAS VEGAS
State : NV
Zip : 89146-5663
Country : US
Telephone Number : 702-213-3102
Fax Number : 702-940-7580
Authorized Official
Title or Position : OWNER
Name : MR. ARUN PASRICHA
Credential :
Telephone Number : 702-213-3102
Provider Enumeration Date : 11/08/2018
Last Update Date : 06/27/2021

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Directions to “GOODWILL PHARMACY INC. ” Practice Location

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