Goodson, Sally Lynne

Goodson, Sally Lynne is an individual health care provider with primary practice located at 2622 W Central Ave Suite 302, Wichita KS 67203-4969. She recently has only one registered license in Pharmacy Service Providers / Geriatric, which is considered as her primary health care specialty. Goodson, Sally Lynne can be contacted via phone (316) 265-3300.

Contact Information

Primary practice address
2622 W Central Ave Suite 302 Wichita KS 67203-4969
Phone: (316) 265-3300
Fax: (316) 265-3304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Geriatric 1835G0303X 9677 Kansas

Profile Details

NPI number 1629425012
LBN Legal business name Goodson, Sally Lynne
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2016
Last updated May 16th, 2016 - about 10 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 1629425012 NPPES
Kansas Other 709829 NABP

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