Individual
DAN YAW GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
812 E SAGINAW HWY, GRAND LEDGE, MI 48837-8410
(517) 627-1240
Mailing address
1115 RUNAWAY BAY DR APT 2D, LANSING, MI 48917-8729
(682) 240-1660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21294021001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21294021001
PHARMACIST
MI
Enumeration date
09/22/2022
Last updated
09/22/2022
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