Gordon, Carolyn M

Gordon, Carolyn M is an individual health care provider with primary practice located at 7200 Cedar Lake Rd S , St Louis Park MN 55426-2725. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Gordon, Carolyn M can be contacted via phone (952) 252-2502.

Contact Information

Primary practice address
7200 Cedar Lake Rd S St Louis Park MN 55426-2725
Phone: (952) 252-2502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 119874 Minnesota

Profile Details

NPI number 1801166780
LBN Legal business name Gordon, Carolyn M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 2012 - about 12 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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