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Mr. Mark Gordon, PHARMD
Pharmacist in Grand Chute, Wisconsin
NPI 1841576543

Mark Gordon is a Pharmacist based in Grand Chute, WI. Mark Gordon practices in Grand Chute, WI and has the professional credentials of PHARMD. The NPI Number for Mark Gordon is 1841576543 and holds a License No. 15530-040 (Wisconsin).

The current practice location address for Mark Gordon is 1305 N Casaloma Dr, Grand Chute, WI and can be reached out via phone at 920-730-8218 and via fax at 920-730-8287.

Location: 1305 N Casaloma Dr, Grand Chute, WI, 54913-8848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841576543
Provider Name
Mark Gordon
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1305 N Casaloma Dr, Grand Chute, WI, 54913-8848
Phone Number
920-730-8218
Fax Number
920-730-8287
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1305 N Casaloma Dr
City
Grand Chute
State
Wisconsin
Zip
54913-8848
Phone Number
920-730-8218
Fax Number
920-730-8287
person
Provider Business Mailing Address Details
Address
1305 N Casaloma Dr
City
Grand Chute
State
Wisconsin
Zip
54913-8848
Phone Number
920-730-8218
Fax Number
920-730-8287
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
15530-040 (Wisconsin)
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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