MR. Terry Ladon Gordon, RPH

NPI #1588901433 in Holt, Florida

Provider Information

NPI Number: 1588901433
Entity Type: Individual
Name: MR. Terry Ladon Gordon, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jan 12, 2013
Last Updated: Jan 12, 2013

Practice Location

Address: 498 YELLOW RIVER LN
City: Holt
State: Florida
ZIP Code: 32564-9570
Phone: (850) 826-2647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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