GORDON COMPOUNDING PHARMACY
NPI 1275637787
Pharmacy - Community/Retail Pharmacy in Gordon, GA
- Organization
- Pharmacy
- Community/Retail Pharmacy
About GORDON COMPOUNDING PHARMACY
This page provides the complete NPI Profile along with additional information for Gordon Compounding Pharmacy, a provider established in Gordon, Georgia operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1275637787 assigned on September 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PHRE008912 (GA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Gordon Compounding Pharmacy. The authorized official of this NPI record is Carla Sappe Pharmd (Pharmacist In Charge)
- NPI
- 1275637787 Verify this NPI
- Provider Legal Name
- ANGUS LAKE HEALTHCARE, LLC
- Other Organization Name
- GORDON COMPOUNDING PHARMACY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 240 MILLEDGEVILLE HWY # A GORDON, GA 31031
- Location Phone
- (478) 628-2425
- Location Fax
- (478) 628-2263
- Mailing Address
- PO BOX 249 240A MILLEDGEVILLE ROAD GORDON, GA 31031
- Mailing Phone
- (478) 628-2425
- Mailing Fax
- (478) 628-2263
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Community/Retail Pharmacy
- Taxonomy Code
- 3336C0003X
- Type
- Suppliers
- License No.
- PHRE008912
- License State
- GA
- Taxonomy Description
- A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275637787, enumerated as an "organization" on September 13, 2006.
The provider is located at 240 MILLEDGEVILLE HWY # A GORDON, GA 31031 and the phone number is (478) 628-2425.
Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.