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Organization
GORDON DRUGS, INC.
Active
Organization
GORDON DRUGS, INC.
Active
Other names
Gordon Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
CARL LAKE STANLEY JR. RPH (PRESIDENT)
(478) 628-2425
Entity
Organization
Contact information
Practice address
240 MILLEDGEVILLE ROAD, GORDON, GA 31031
(478) 628-2425
(478) 628-2263
Mailing address
PO BOX 249, GORDON, GA 31031-0249
(478) 628-2425
(478) 628-2263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005143
GA
Other
Enumeration date
10/03/2006
Last updated
01/28/2010
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