Doctor Name: | DAVID A GOODMAN |
NPI Number: | 1003047077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARM.D. |
License Number: | 051132-1 |
Business Practice Address: | 76 Veterans Ave Pharmacy Dept (119) Bath, NY - 148100810 |
Business Phone Number: | 6076644469 |
Business Fax Number: | 6076644478 |
Mailing Address: | 76 Veterans Ave, Pharmacy Dept (119) BATH |
State: | NY |
Postal Code: | 148100810 |
Phone Number: | 6076644469 |
Fax Number: | 6076644478 |
NPI Enumeration Date: | 08/07/2009 |
NPI Last Update Date: | 08/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 051132-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |