| NPI | 1205836814 |
|---|---|
| Doing Business As | GORDONS DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | GEORGE LOCKPARET Owner 337-477-6773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.000427-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2015-06-10 |