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Search › Wisconsin › 3336C0003X

Amanda Goodall, PHARMD

NPI 1578162954 · on the registry since 2020 · sole proprietor

Practice

Address
2950 New Pinery Rd
Portage, WI 53901
Phone
(608) 742-1670
Fax
(608) 742-1769
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
3336C0003X
3336C0003X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin