Individual
GORDON SCOTT SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2016 N WAYNE ST, ANGOLA, IN 46703-9102
(260) 665-7033
Mailing address
500 LANE 100 LAKE ARROWHEAD, HUDSON, IN 46747-9783
(260) 665-5205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26018676A
IN
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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