Individual
LAURA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2784 CARL T JONES DR SE, HUNTSVILLE, AL 35802-4909
(256) 882-2883
Mailing address
2784 CARL T JONES DR SE, HUNTSVILLE, AL 35802-4909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18905
AL
183500000X
Pharmacist
56879
TX
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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