Provider Demographics
NPI:1528065711
Name:GOODLING, JODY A (PHARMD)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:A
Last Name:GOODLING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 LOWELL LN
Mailing Address - Street 2:
Mailing Address - City:NEW CUMBERLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17070-2250
Mailing Address - Country:US
Mailing Address - Phone:717-774-5157
Mailing Address - Fax:
Practice Address - Street 1:450 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-2774
Practice Address - Country:US
Practice Address - Phone:717-851-4920
Practice Address - Fax:717-741-1731
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02751100183500000X
MD26968183500000X
PARP046258R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist