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NPI Code Detail

MEDICARE: WILLIAM STUART GOUDY PHARMD

MEDICARE: WILLIAM STUART GOUDY PHARMD
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
1183500000XPharmacistPD08479AR

General Provider Information

NPI Number : 1851938864
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM STUART GOUDY PHARMD
Provider Business Mailing Address
First Line : 8824 GEYER SPRINGS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4765
Country : US
Telephone Number : 501-565-7584
Fax Number : 501-565-5094
Provider Business Practice Location Address
First Line : 8824 GEYER SPRINGS RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4765
Country : US
Telephone Number : 501-565-7584
Fax Number : 501-565-5094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2019
Last Update Date : 12/09/2019

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Directions to “ WILLIAM STUART GOUDY PHARMD” Practice Location

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