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Charles R Gordon Md Pa
Community/Retail Pharmacy in Tyler, Texas
NPI 1346670726

Charles R Gordon Md Pa is a Community/Retail Pharmacy based in Tyler, TX and is specialized in Community/Retail Pharmacy. Charles R Gordon Md Pa practices in Tyler, TX. The NPI Number for Charles R Gordon Md Pa is 1346670726 and holds a License No. (Texas).

The current practice location address for Charles R Gordon Md Pa is 2737 S Broadway Ave, Tyler, TX and can be reached out via phone at 903-531-0590 and via fax at 903-531-0591.

Location: 2737 S Broadway Ave, Tyler, TX, 75711-8967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346670726
Provider Name
Charles R Gordon Md Pa
Credential
Provider Entity Type
Organization
Address
2737 S Broadway Ave, Tyler, TX, 75711-8967
Phone Number
903-531-0590
Fax Number
903-531-0591
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2143181 01 PK
institution
Provider Business Practice Location Address Details
Address
2737 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-5413
Phone Number
903-531-0590
Fax Number
903-531-0591
person
Provider Business Mailing Address Details
Address
2737 S Broadway Ave
City
Tyler
State
Texas
Zip
75701-5413
Phone Number
903-531-0590
Fax Number
903-531-0591
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
28882 (Texas)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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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