MR. Alvah Gene Gordon, PHARMACIST

NPI #1639298946 in Camdenton, Missouri

Provider Information

NPI Number: 1639298946
Entity Type: Individual
Name: MR. Alvah Gene Gordon, PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMACIST
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 429 WEDGEWOOD DR
City: Camdenton
State: Missouri
ZIP Code: 65020-6611
Phone: (573) 346-2431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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