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Mark Gordon, PHARMD
NPI 1841576543 · on the registry since 2011
Practice
- Address
- 1305 N Casaloma Dr
Grand Chute, WI 54913 - Phone
- (920) 730-8218
- Fax
- (920) 730-8287
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin