Individual
JOHN WILLIAM GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1036 US HIGHWAY 211 W, LURAY, VA 22835-5245
(540) 743-1701
Mailing address
1254 US HIGHWAY 340 S, SHENANDOAH, VA 22849-4230
(540) 578-3765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006175
VA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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