Provider Demographics
NPI:1841877578
Name:GOODIN, CLAIRE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:GOODIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2688 MICHELLE PARK
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8643
Mailing Address - Country:US
Mailing Address - Phone:270-734-6519
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST RM H110
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-3754
Practice Address - Country:US
Practice Address - Phone:859-323-4756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-27
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY021371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist