Individual
DR. GORDON JAMES CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
211 MAIN ST, CARBONDALE, KS 66414-9714
(785) 836-7202
(785) 836-7208
Mailing address
211 MAIN ST, CARBONDALE, KS 66414-9714
(785) 836-7202
(785) 836-7208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15969
KS
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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