Individual
DR. CAREY MAH GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
180 S LAKE AVE, SUITE 415, PASADENA, CA 91101-2663
(626) 864-5100
(626) 577-5566
Mailing address
180 S LAKE AVE, SUITE 415, PASADENA, CA 91101-2663
(626) 864-5100
(626) 577-5566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
G0406281110
CA
183500000X
Pharmacist
Primary
31020
CA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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