Individual provider · Type 1 NPI

Thomas Gordon, PHARM D

Pharmacist · Bridgeton, MO

NPI number 1770069916 Active

Practice location

12921 Enterprise Way
Bridgeton, MO 63044-1206

Mailing address

4800 Paris Dr
Godfrey, IL 62035-1617

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X051.295883 (IL)
Pharmacist Primary 183500000X2012026227 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1770069916

Thomas Gordon, PHARM D's National Provider Identifier is 1770069916, issued on Jul 11, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bridgeton, MO. The record was last updated on Jul 11, 2018.