Organization
GORDY'S PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F GARRISON RPH (OWNER)
(651) 257-4500
Entity
Organization
Contact information
Practice address
320 SUMMIT AVE, CENTER CITY, MN 55012
(651) 257-4500
Mailing address
PO BOX 127, 320 SUMMIT AVE, CENTER CITY, MN 55012-0127
(651) 257-4500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2613068
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2410316
NABP
—
01
—
2613066
STATE LICENSE
MN
01
—
5359541
STATE TAX ID
MN
Enumeration date
11/02/2007
Last updated
03/07/2023
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