Organization
GORDON DRUGS, INC.
Active
Other names
Gordon Drug Company
Organization subpart
No
Provider details
NPI number
Authorized official
CARL LAKE STANLEY JR. RPH (PRESIDENT)
(478) 628-2425
Entity
Organization
Contact information
Practice address
240 MILLEDGEVILLE ROAD, GORDON, GA 31031
(478) 628-2425
(478) 628-2263
Mailing address
PO BOX 249, GORDON, GA 31031-0249
(478) 628-2425
(478) 628-2263
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE005143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00144196A
—
GA
05
—
00144196B
—
GA
Enumeration date
10/03/2006
Last updated
01/28/2010
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