IndividualActive
Terry Gordon, RPH
NPI 1588901433 · Pharmacist · Holt, FL
Provider details
- NPI number
- 1588901433
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- PS12259 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
498 Yellow River Ln
Holt, FL 32564-9570
Phone: (850) 826-2647
Approximate (ZIP-level) locationGet directions
Mailing address
498 Yellow River Ln
Holt, FL 32564-9570
Registry dates
- Enumerated
- 2013-01-12
- Last updated
- 2013-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.