Provider Demographics
NPI:1295876233
Name:GOOD, JAMES A (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:GOOD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 QUEENS ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-8880
Mailing Address - Country:US
Mailing Address - Phone:406-459-0600
Mailing Address - Fax:
Practice Address - Street 1:7250 PACIFIC AVE
Practice Address - Street 2:PHARMACY
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-7128
Practice Address - Country:US
Practice Address - Phone:253-475-6073
Practice Address - Fax:253-475-6082
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT33211835P1200X
WAPH 60191326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist