Individual
PETER MARTIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(480) 225-4192
Mailing address
233 ROCK RD, GREER, SC 29651-6833
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
42978
SC
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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