Individual
GABRIELLE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3401 SAINT CHARLES AVE, NEW ORLEANS, LA 70115-4535
(504) 896-4575
Mailing address
4751 SHERWOOD DR, NEW ORLEANS, LA 70128-3117
(504) 301-5261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020256
LA
183700000X
Pharmacy Technician
46314
LA
Other
Enumeration date
07/02/2013
Last updated
09/09/2013
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