DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GORDON DRUG STORE INC

Active Organization

GORDON DRUG STORE INC is a Long-Term Care Pharmacy organization located in LAKE CHARLES, Louisiana. NPI 1205836814 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · LAKE CHARLES, LA

Registration Details

NPI Number
1205836814
Provider Type
Organization
NPI Issued
Jul 26, 2005 (21.041366034349 yrs)
Last Updated
Jun 10, 2015
License
PHY.000427-IR (LA)

Practice Information

Address
2716 LAKE ST
LAKE CHARLES, LA, 706018216
Browse LA providers · Browse ZIP 70601
Phone
3374776773
Fax
3374777126
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in LAKE CHARLES, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.