| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARISSA GOAD | 1205486792 | 2019-09-16 |
Marissa Goad is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205486792. Registration indicates Marissa Goad is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers) (Pharmacy Service Providers, Pharmacist) (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Marissa Goad PHARMD |
| Practice Office Address | 4102 PINION DR USAF ACADEMY, CO US |
| Practice Office Telephone | 7193332025 |
| Mailing Address | 600 MARSHALL RD SUPERIOR, CO 800279730 US |
| Business Telephone | 7205871000 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 600 Marshall Rd | Superior, CO 800279730 | 7205871000 |
| Other URL [] | EPRN | |
| Other URL [] | Phoenix |
| Code | Practice | License No State |
|---|---|---|
| 183500000X | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | S024277
AZ |
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | PHA.0023485
CO |