Individual
COURTNEY MARIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 GORDON WAY, ROCKVILLE, RI 02873-0176
(401) 539-7813
Mailing address
PO BOX 176, ROCKVILLE, RI 02873-0176
(401) 539-7813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
04707
RI
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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