Averill D Gordon in Jacksonville - Pharmacist
Averill D Gordon - NPI 1164419305
Averill D Gordon is a Pharmacist in Jacksonville, Florida. Averill D Gordon practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Averill D Gordon is 1164419305. The last update date is 2007-07-08.
Averill D Gordon's current location address is 2080 Child St, Jacksonville, Florida. You can contact this provider via phone number 9045429785. The mailing address for Averill D Gordon is 2080 Child St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Averill D Gordon |
|---|---|
| Address | 2080 Child St, Jacksonville, Florida |
| Phone Number | 9045429785 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1164419305 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2080 Child St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322145005 |
| Phone Number | 9045429785 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS38857 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Averill D Gordon by the Centers for Medicare & Medicaid Services?
The Averill D Gordon has been assigned the NPI (National Provider Identifier) 1164419305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Averill D Gordon's physical address?
The Averill D Gordon is physically located at 2080 Child St, in the city of Jacksonville, FL, with the postal code 322145005.
What is Averill D Gordon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Averill D Gordon is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164419305 to Averill D Gordon?
The Centers for Medicare & Medicaid Services assigned the 1164419305 to Averill D Gordon on 2005-10-03.
As of what date were the details related to Averill D Gordon most recently updated or revised?
The information pertaining to Averill D Gordon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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