Individual
MR. TRENT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
18525 HIGHWAY 22, MAUREPAS, LA 70449-3015
(225) 698-6000
Mailing address
22840 ALEX WILLIE RD, LIVINGSTON, LA 70754-5250
(225) 368-7691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023094
LA
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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