Gordan, Richard

Gordan, Richard is an individual health care provider with primary practice located at 577 Lockhaven Dr , Rivervale NJ 07675-6030. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gordan, Richard can be contacted via phone (201) 930-8915.

Contact Information

Primary practice address
577 Lockhaven Dr Rivervale NJ 07675-6030
Phone: (201) 930-8915
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI01599200 New Jersey

Profile Details

NPI number 1710087499
LBN Legal business name Gordan, Richard
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710087499 NPPES
New Jersey Other 28RI01599200 PHARMACIST LICENSE NUMBER

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