Individual provider · Type 1 NPI

Mason Goodman

Pharmacist · Twin Falls, ID

NPI number 1902387566 Active

Practice location

714 N College Rd Ste A
Twin Falls, ID 83301-5812

Call (208) 420-0674 Map

Mailing address

801 Pole Line Rd W
Twin Falls, ID 83301-5810

Other practice locations

  • 801 Pole Line Rd W, Twin Falls, ID 83301-5810 · (208) 814-2500
  • 3205 E 3225 N, Twin Falls, ID 83301-0551 · (208) 420-0674

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP8032 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1902387566

Mason Goodman's National Provider Identifier is 1902387566, issued on Aug 22, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Twin Falls, ID. The record was last updated on Aug 22, 2018.