Good, David A

Good, David A is an individual health care provider with primary practice located at 73 N Main St , Brockport NY 14420-1648. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Good, David A can be contacted via phone (585) 637-1151.

Contact Information

Primary practice address
73 N Main St Brockport NY 14420-1648
Phone: (585) 637-1151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 049654 New York

Profile Details

NPI number 1144407891
LBN Legal business name Good, David A
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2008
Last updated Jan 24th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144407891 NPPES
New York MEDICAID 01259003

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