Doctor Name: | DAWN GORDON |
NPI Number: | 1154427011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 270100103111816 |
Business Practice Address: | 290 Solana Rd Ponte Vedra Beach, FL - 320822234 |
Business Phone Number: | 9045438678 |
Business Fax Number: | 9045438606 |
Mailing Address: | 938 4th Ave S, JACKSONVILLE BEACH |
State: | FL |
Postal Code: | 322504320 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 270100103111816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |