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Organization
GORDON SMITH PHARMACY
Active
Organization
GORDON SMITH PHARMACY
Active
Other names
The Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE NAGEM RPH CCN (PHARMACIST IN CHARGE)
(318) 428-3212
Entity
Organization
Contact information
Practice address
212 MAIN STREET, OAK GROVE, LA 71263-1515
(318) 428-3212
(318) 428-7755
Mailing address
PO BOX 1515, OAK GROVE, LA 71263-1515
(318) 428-3212
(318) 428-7755
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
428 IR
LA
Other
Enumeration date
01/02/2007
Last updated
06/25/2008
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