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Mark Godiksen
Non-Pharmacy Dispensing Site in Clovis, California
NPI 1760725758

Mark Godiksen is a Non-Pharmacy Dispensing Site based in San Diego, CA. Mark Godiksen practices in Clovis, CA. The NPI Number for Mark Godiksen is 1760725758 and holds a License No. A43850 (California).

The current practice location address for Mark Godiksen is 688 Medical Center Dr E, Clovis, CA and can be reached out via phone at 559-297-8604.

Location: 688 Medical Center Dr E, Clovis, CA, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760725758
Provider Name
Mark Godiksen
Credential
Provider Entity Type
Organization
Address
688 Medical Center Dr E, Clovis, CA, 92121-1705
Phone Number
559-297-8604
Fax Number
Provider Enumeration Date
03/28/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
688 Medical Center Dr E
City
Clovis
State
California
Zip
93611-6807
Phone Number
559-297-8604
Fax Number
person
Provider Business Mailing Address Details
Address
688 Medical Center Dr E
City
Clovis
State
California
Zip
93611-6807
Phone Number
559-297-8604
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A43850 (California)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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