Organization
QUINATE PHARMACY LLC
Active
Other names
Gordon's Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KEITH GORDON RPH (OWNER)
(912) 988-1780
Entity
Organization
Contact information
Practice address
1569 GA HIGHWAY 21 S, SPRINGFIELD, GA 31329-5214
(912) 754-2200
Mailing address
1569 GA HIGHWAY 21 S, SPRINGFIELD, GA 31329-5214
(912) 754-2200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE010724
STATE BOARD OF PHARMACY
GA
Enumeration date
06/27/2019
Last updated
06/27/2019
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