Amanda Marie Goudas, CPHT
Individual provider Active NPI Pharmacy Technician · East Taunton, MA
NPI 1407975154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407975154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 390101070253261 (MA)
- Practice address
- 25 Wellesley Cir
East Taunton, MA 02718-1032 - Phone
- (508) 824-7452
- NPI assigned
- Mar 27, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390101070253261 | MA | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 390101070253261 | MA | Yes |
Addresses
Primary practice location
25 Wellesley Cir
East Taunton, MA 02718-1032
Mailing address
25 Wellesley Cir
East Taunton, MA 02718-1032
Phone (508) 824-7452
Other providers in East Taunton, MA
- Rose Drew
- Family 1St Personal Home Care LLC
- Amanda Frates
- Deborah Louise Gaudette
- Denise Marie Gilbert
- Emily Rose Griffith
- Kendra Lois Halloran
- Helping Hands Care Services 4U2Bu L.L.C
- Gage Hull
- Laurie Jean Jaruse
All providers in East Taunton, MA · Pharmacy Technician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.