NPI 1013603000

Monique Gordon

Practitioner Pharmacy Technician Philadelphia, PA

Practice location

Address: 1924 Fairmount Ave, Philadelphia, PA 19130-2010
Phone: (215) 765-5078
Fax: (215) 765-3897

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 1887267 (PA)

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Registry record

NPI: 1013603000
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2023
Record last updated: 13 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.