# WEST GORDON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Gordon Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528464336
- **Authorized official:** DAVID BURNETT (SECRETARY)
- **Authorized official phone:** (435) 512-2102

## Contact information

- **Practice address:** 3225 W GORDON AVE STE 2, LAYTON, UT 84041-5728
- **Practice address phone:** (801) 544-7979
- **Practice address fax:** (801) 682-8011
- **Mailing address:** 3225 W GORDON AVE STE 2, LAYTON, UT 84041-5728
- **Mailing address phone:** (801) 544-7979
- **Mailing address fax:** (801) 682-8011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9221852-1703 | UT | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1528464336 | — | UT |
| 01 | — | 2149549 | PK | — |