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Jeffrey Dean Gordon, RPH
Pharmacist in Fridley, Minnesota
NPI 1275118713

Jeffrey Dean Gordon is a Pharmacist based in Fridley, MN. Jeffrey Dean Gordon practices in Fridley, MN and has the professional credentials of RPH. The NPI Number for Jeffrey Dean Gordon is 1275118713 and holds a License No. 112313 (Minnesota).

The current practice location address for Jeffrey Dean Gordon is 8400 University Av Ne, Fridley, MN and can be reached out via phone at 651-269-8796.

Location: 8400 University Av Ne, Fridley, MN, 55421-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275118713
Provider Name
Jeffrey Dean Gordon
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
8400 University Av Ne, Fridley, MN, 55421-1325
Phone Number
651-269-8796
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112313 01 MN STATE BOARD IF PHARMACY
institution
Provider Business Practice Location Address Details
Address
8400 University Av Ne
City
Fridley
State
Minnesota
Zip
55432
Phone Number
651-269-8796
Fax Number
person
Provider Business Mailing Address Details
Address
8400 University Av Ne
City
Fridley
State
Minnesota
Zip
55432
Phone Number
651-269-8796
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
112313 (Minnesota)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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