George W. Goeddaeus

Pharmacist · Kalamazoo, MI

Individual Active NPI

NPI number 1750658688

Practice location

5815 Gull Rd
Kalamazoo, MI 49048-1094
Phone
(269) 226-9433

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NPI record

NPI
1750658688
Entity type
Individual (Type 1)
Enumeration date
November 21, 2011
Last updated
November 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 5302021999 MI

Mailing address

5400 Waldorf Rd
Delton, MI 49046-7786
Phone
(269) 623-5910

About George Goeddaeus

George W. Goeddaeus is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 5815 Gull Rd, Kalamazoo, MI 49048-1094. The NPI number 1750658688 was assigned on November 21, 2011 and the record was last updated on November 21, 2011.

George Goeddaeus lists a license in the registry: #5302021999 (MI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of George W. Goeddaeus?

The NPI number is 1750658688.

What is the phone number of George Goeddaeus?

The phone number listed for the practice location is (269) 226-9433.

Where is George Goeddaeus located?

5815 Gull Rd, Kalamazoo, MI 49048-1094.

What is the taxonomy code for George Goeddaeus?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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