Individual
GORDON SHANE MCNEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
219 N MAIN ST, NASHVILLE, MI 49073-9577
(517) 852-0845
(517) 852-0461
Mailing address
219 N MAIN ST, NASHVILLE, MI 49073-9577
(517) 852-0845
(517) 852-0461
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027389
MI
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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