Individual
KORI RAYMER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5008 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4747
(501) 664-3844
Mailing address
5008 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4747
(501) 664-3844
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09406
AR
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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