Gordon Smith Pharmacy

NPI #1710044508 in Oak Grove, Louisiana

Provider Information

NPI Number
1710044508
Entity Type
Organization
Organization Name
Gordon Smith Pharmacy
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 2, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
212 MAIN STREET
ZIP Code
71263-1515
Phone
(318) 428-3212

Authorized Official

Name
DAVID WAYNE NAGEM, RPH CCN
Title
PHARMACIST IN CHARGE
Phone
(318) 428-3212

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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