Most Relevant Information
Provider Data
| NPI Number: | 1003036864 |
| Provider Name: | LAWRENCE ALAN GORDIN RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS19132 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
20311 GRANDE OAKS SHOPPES BLVD
ESTERO
FL
33928
Practice Location Phone/Fax
| Phone: | 2394959013 |
| Fax: | 2394957638 |
Provider Mailing Location
11462 PEMBROOK RUN
ESTERO
FL
339283251
Provider Mailing Phone/Fax
| Phone: | 2394952969 |
| Fax: |