NPI 1427658806

Stephanie Russo Godwin, PHARMD

Practitioner Pharmacist Pocomoke City, MD

Practice location

Address: 2132 Old Snow Hill Rd, Pocomoke City, MD 21851-2734
Phone: (410) 726-2117
Mailing address: 4424 Stockton Rd, Pocomoke City, MD 21851-2512

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 22465 (MD)

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Registry record

NPI: 1427658806
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

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.