Mr Terry Ladon Gordon, RPH is a
Pharmacist based in Holt, Florida. Mr Terry Ladon Gordon is licensed to practice in Florida (license number PS12259) and his current practice location is
498 Yellow River Ln, Holt, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 826-2647.
NPI number for Mr Terry Ladon Gordon is 1588901433 and his current mailing address is 498 Yellow River Ln, Holt, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588901433.
Healthcare Provider's Profile
| Full Name | Mr Terry Ladon Gordon |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 498 Yellow River Ln, Holt, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588901433
- Provider Enumeration Date: 01/12/2013
- Last Update Date: 01/12/2013
Medical Identifiers
Medical identifiers for Mr Terry Ladon Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588901433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS12259 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terry Ladon Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Terry Ladon Gordon, RPH
498 Yellow River Ln,
Holt, FL 32564-9570
Ph: (850) 826-2647 | Mr Terry Ladon Gordon, RPH
498 Yellow River Ln,
Holt, FL 32564-9570
Ph: (850) 826-2647 |
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