# DR. JAMIE VIRGINIA HACK GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477835742
- **Gender:** F
- **Credential:** PHARM.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 0202214400 | VA | — |
| 183500000X | Pharmacist | PHA.0023069 | CO | — |
| 183500000X | Pharmacist | PS45154 | FL | Yes |
| 183500000X | Pharmacist | RP0012244 | WV | — |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 10/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0202214400 | VIRGINIA BOARD OF PHARMACY | VA |
| 01 | — | PHA.0023069 | COLORADO BOARD OF PHARMACY | CO |
| 01 | — | PS45154 | FLORIDA BOARD OF PHARMACY | FL |
| 01 | — | RP0012244 | WEST VIRGINIA BOARD OF PHARMACY | WV |