# GORDONS PHARMACY & GIFTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gordon's Pharmacy and Gifts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831236991
- **Authorized official:** JEFFREY HARRELL (OWNER)
- **Authorized official phone:** (360) 859-8659

## Contact information

- **Practice address:** 314 SOUTH MAIN STREET, CANYONVILLE, OR 97417-0746
- **Practice address phone:** (541) 839-4452
- **Practice address fax:** (541) 839-4254
- **Mailing address:** PO BOX B, ILWACO, WA 98624-0167
- **Mailing address phone:** (541) 839-4452
- **Mailing address fax:** (541) 839-4254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | RP0000162CS | OR | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RP0000162CS | OR | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/24/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 229336 | — | OR |
| 05 | — | 274197 | — | OR |
| 01 | — | 3805655 | NCPDP NUMBER | — |