| Doctor Name: | MR. GREGORY LARKIN GOODSON |
| NPI Number: | 1194927178 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NRPH |
| License Number: | 10553 |
| Business Practice Address: | 612 N Main St Suite A Enterprise, AL - 363301775 |
| Business Phone Number: | 3343930086 |
| Business Fax Number: | 3343930206 |
| Mailing Address: | Po Box 154, DALEVILLE |
| State: | AL |
| Postal Code: | 363220154 |
| Phone Number: | 3343472449 |
| Fax Number: | 3343930206 |
| NPI Enumeration Date: | 06/01/2007 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N0905X |
| License Number: | 10553 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nuclear |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |