Mary Kathryn Goodlett, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Harrodsburg, KY

NPI 1205469822 · NPPES record last updated Feb 21, 2020

Key facts

NPI
1205469822
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
020688 (KY)
Practice address
844 S College St
Harrodsburg, KY 40330-2140
Phone
(859) 734-0081
Fax
(859) 734-0084
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
020688KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 020688 KY Yes

Addresses

Primary practice location

844 S College St
Harrodsburg, KY 40330-2140

Mailing address

4172 Reserve Rd Apt 204
Lexington, KY 40514-4071
Phone (859) 612-7775

Other providers in Harrodsburg, KY

All providers in Harrodsburg, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

Sources for this page

Verify at the official NPI Registry.