Organization · Type 2 NPI

Charles R Gordon MD PA

Community/Retail Pharmacy · Tyler, TX

NPI number 1346670726 Active

Practice location

2737 S Broadway Ave
Tyler, TX 75701-5413

Call (903) 531-0590 Map

Fax (903) 531-0591

Mailing address

PO Box 8967
Tyler, TX 75711-8967

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X28882 (TX)

Community/Retail Pharmacy: 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 …

21 other providers at this address

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About NPI 1346670726

Charles R Gordon MD PA's National Provider Identifier is 1346670726, issued on Nov 20, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tyler, TX. The record was last updated on Feb 20, 2017.