Mark Gordon, PHARMD

Pharmacist · Grand Chute, WI

Individual Active NPI

NPI number 1841576543

Practice location

1305 N Casaloma Dr
Grand Chute, WI 54913-8848
Phone
(920) 730-8218
Fax
(920) 730-8287

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NPI record

NPI
1841576543
Entity type
Individual (Type 1)
Enumeration date
October 25, 2011
Last updated
October 25, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 15530-040 WI

About Dr. Gordon

Mark Gordon, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1305 N Casaloma Dr, Grand Chute, WI 54913-8848. The NPI number 1841576543 was assigned on October 25, 2011 and the record was last updated on October 25, 2011.

Dr. Gordon lists a license in the registry: #15530-040 (WI) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Gordon, PHARMD?

The NPI number is 1841576543.

What is the phone number of Dr. Gordon?

The phone number listed for the practice location is (920) 730-8218.

Where is Dr. Gordon located?

1305 N Casaloma Dr, Grand Chute, WI 54913-8848.

What is the taxonomy code for Dr. Gordon?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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