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Amanda Marie Goodall, PHARMD
Community/Retail Pharmacy in Portage, Wisconsin
NPI 1578162954

Amanda Marie Goodall is a Community/Retail Pharmacy based in Madison, WI and is specialized in Community/Retail Pharmacy. Amanda Marie Goodall practices in Portage, WI and has the professional credentials of PHARMD. The NPI Number for Amanda Marie Goodall is 1578162954 and holds a License No. 18793-40 (Wisconsin).

The current practice location address for Amanda Marie Goodall is 2950 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-1670 and via fax at 608-742-1769.

Location: 2950 New Pinery Rd, Portage, WI, 53711-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578162954
Provider Name
Amanda Marie Goodall
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
2950 New Pinery Rd, Portage, WI, 53711-5729
Phone Number
608-742-1670
Fax Number
608-742-1769
Provider Enumeration Date
10/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2950 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9225
Phone Number
608-742-1670
Fax Number
608-742-1769
person
Provider Business Mailing Address Details
Address
2950 New Pinery Rd
City
Portage
State
Wisconsin
Zip
53901-9225
Phone Number
608-742-1670
Fax Number
608-742-1769
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
18793-40 (Wisconsin)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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