Organization Name: | GORDON DRUGS, INC. |
NPI Number: | 1184718942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL LAKE STANLEY (PRESIDENT) |
Mailing Address: | 240 Milledgeville Road Gordon |
State: | GA US |
Postal Code: | 31031 |
Phone Number: | 4786282425 |
Fax Number: | 4786282263 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |