Individual
MR. ALVAH GENE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
429 WEDGEWOOD DR, CAMDENTON, MO 65020-6611
(573) 346-2431
Mailing address
429 WEDGEWOOD DR, CAMDENTON, MO 65020-6611
(573) 346-2431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043582
MO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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