Organization
GORDON FAMILY PHARMACY INC
Active
Other names
GORDON FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GORDON (PRESIDENT)
(704) 995-5517
Entity
Organization
Contact information
Practice address
163 ROSMAN HWY, BREVARD, NC 28712-4119
(828) 877-6111
Mailing address
163 ROSMAN HWY, BREVARD, NC 28712-4119
(828) 877-6111
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3411030
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2008
Last updated
01/14/2010
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