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STEVEN KEITH GORDON RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1427527837

Individual Registrant:
 STEVEN KEITH GORDON RPH
Gender: M
Sole Proprietor

Location and contact information for practice:
3010 US HIGHWAY 80 STE B  BLOOMINGDALE, GA 31302-4557 US
Tel: 912-988-1780  Fax: 912-988-1784

Contact information for business:
3010 US HIGHWAY 80 STE B  BLOOMINGDALE, GA 31302-4557 US
Tel: 912-988-1780  Fax: --

Registration Information:
NPI: 1427527837
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH018744

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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