Monique Gordon
Pharmacy Technician in Philadelphia, PA. Individual provider (NPI-1).
NPI number1013603000
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1013603000
- Entity type
- Individual (NPI-1)
- Name
- Monique Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 1887267 | PA | Yes |
Practice location
1924 Fairmount AvePhiladelphia, PA 19130-2010
Phone 215-765-5078 · Fax 215-765-3897
Mailing address
1924 Fairmount AvePhiladelphia, PA 19130-2010
Phone 215-765-5078 · Fax 215-765-3897
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