THOMAS GORDON

BRIDGETON, MO
NPI1770069916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2012026227)
Additional Taxonomies183500000X Pharmacist
(Licence: IL  051.295883)
Enumeration Date2018-07-11
Last Update Date2018-07-11
Business Address
THOMAS GORDON Pharm D
12921 ENTERPRISE WAY
BRIDGETON, MO 63044-1206
Phone number: 314-344-9604
Mailing Address
THOMAS GORDON Pharm D
4800 PARIS DR
GODFREY, IL 62035-1617
Phone number: 618-610-2094