Individual
SHAWN MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2505 W DIVISION ST, SAINT CLOUD, MN 56301-3837
(320) 251-9433
Mailing address
2505 W DIVISION ST, SAINT CLOUD, MN 56301-3837
(320) 251-9433
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116653
MN
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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