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NPI Code Detail

MEDICARE: DR. KIMBERLY GODEK PHARMD

MEDICARE: DR. KIMBERLY GODEK 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
1183500000XPharmacistPH236813MA

General Provider Information

NPI Number : 1992308969
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY GODEK PHARMD
Provider Business Mailing Address
First Line : 1616 MEMORIAL DR
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-3933
Country : US
Telephone Number : 413-532-3299
Fax Number :
Provider Business Practice Location Address
First Line : 1616 MEMORIAL DR
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-3933
Country : US
Telephone Number : 413-532-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 11/20/2020

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Directions to “ DR. KIMBERLY GODEK PHARMD” Practice Location

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