Provider Demographics
NPI:1124294525
Name:MCGOFF, GEORGE DAMIEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DAMIEN
Last Name:MCGOFF
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E 104TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-4317
Mailing Address - Country:US
Mailing Address - Phone:303-452-8661
Mailing Address - Fax:303-450-3426
Practice Address - Street 1:750 E 104TH AVE
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-4317
Practice Address - Country:US
Practice Address - Phone:303-452-8661
Practice Address - Fax:303-450-3426
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist