Individual
REBECCA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
208 N ANTLERS PL, BEAR, DE 19701-2766
(203) 228-8636
Mailing address
208 N ANTLERS PL, BEAR, DE 19701-2766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0005138
DE
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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