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Organization
GORDON DRUG STORE INC
Active
Organization
GORDON DRUG STORE INC
Active
Other names
GORDONS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LOCKPARET RPH (OWNER)
(337) 477-6773
Entity
Organization
Contact information
Practice address
2716 LAKE ST, LAKE CHARLES, LA 70601-8216
(337) 477-6773
(337) 477-7126
Mailing address
PO BOX 1180, LAKE CHARLES, LA 70602-1180
(337) 477-6773
(337) 477-7126
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY.000427-IR
LA
Other
Enumeration date
07/26/2005
Last updated
06/10/2015
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