Individual
JAY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 E MAIN ST, AMERICAN FORK, UT 84003-2407
(801) 756-2411
(801) 756-6824
Mailing address
135 E MAIN ST, AMERICAN FORK, UT 84003-2407
(801) 756-2411
(801) 756-6824
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
132311-1701
UT
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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