Dr. Jamie Virginia Hack Gordon, Pharm.D.
Pharmacist in Fort Carson, CO. Individual provider (NPI-1).
NPI number1477835742
StatusActive
Last updated in NPPESOct 21, 2021
Details
- NPI
- 1477835742
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jamie Virginia Hack Gordon
- Credential
- Pharm.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2011
- Certification date
- Oct 21, 2021
- Last updated
- Oct 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS45154 | FL | Yes |
| 183500000X | Pharmacist | 0202214400 | VA | |
| 183500000X | Pharmacist | PHA.0023069 | CO | |
| 183500000X | Pharmacist | RP0012244 | WV |
Practice location
1650 Cochrane CirFort Carson, CO 80913-4613
Phone 719-526-7410
Mailing address
9855 Hunting TrLake Worth, FL 33467-3515
Phone 561-968-3330
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All 27 Pharmacist providers in Fort Carson · All 947 providers in Fort Carson
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