Organization
PHARMATEMP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON PHILLIP KOST (RPH)
(209) 447-8475
Entity
Organization
Contact information
Practice address
1120 CEDAR CREEK CT APT 159, MODESTO, CA 95355-5250
(209) 447-8475
Mailing address
1120 CEDAR CREEK CT APT 159, MODESTO, CA 95355-5250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
26560
CA
Other
Enumeration date
12/25/2016
Last updated
12/25/2016
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