Provider Demographics
NPI:1316233059
Name:GODOY, DENISSE (PHARM D)
Entity type:Individual
Prefix:
First Name:DENISSE
Middle Name:
Last Name:GODOY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:DENISSE
Other - Middle Name:
Other - Last Name:SANCHEZ GODOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5601 NW 183RD ST
Mailing Address - Street 2:T-2196
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2305
Mailing Address - Country:US
Mailing Address - Phone:305-760-7009
Mailing Address - Fax:305-760-7019
Practice Address - Street 1:5601 NW 183RD ST
Practice Address - Street 2:T-2196
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2305
Practice Address - Country:US
Practice Address - Phone:305-760-7009
Practice Address - Fax:305-760-7019
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist