Goodballet, Taran

Goodballet, Taran is an individual health care provider with primary practice located at 14100 N 83Rd Ave , Peoria AZ 85381-5658. She recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as her primary health care specialty. Goodballet, Taran can be contacted via phone (623) 230-3194.

Contact Information

Primary practice address
14100 N 83Rd Ave Peoria AZ 85381-5658
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X S024801 Arizona

Profile Details

NPI number 1831859107
LBN Legal business name Goodballet, Taran
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Dec 28th, 2021 - about 5 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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