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Organization
GORDONS PHARMACY & GIFTS LLC
Active
Organization
GORDONS PHARMACY & GIFTS LLC
Active
Other names
Gordon's Pharmacy and Gifts
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HARRELL (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
314 SOUTH MAIN STREET, CANYONVILLE, OR 97417-0746
(541) 839-4452
(541) 839-4254
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(541) 839-4452
(541) 839-4254
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
RP0000162CS
OR
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RP0000162CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229336
—
OR
05
—
274197
—
OR
01
—
3805655
NCPDP NUMBER
—
Enumeration date
01/30/2007
Last updated
08/24/2026
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