NPI 1376816678

Tyrell R Goodrich, RPH

Practitioner Pharmacist Ashland, OR

Practice location

Address: 2280 Ashland St, Ashland, OR 97520-1406
Phone: (541) 482-8191

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 9230 (OR)

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Registry record

NPI: 1376816678
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2012
Record last updated: 16 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.