Hack Gordon, Jamie Virginia

Hack Gordon, Jamie Virginia is an sole proprietor health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hack Gordon, Jamie Virginia can be contacted via phone (719) 526-7410.

Contact Information

Primary practice address
1650 Cochrane Cir Fort Carson CO 80913-4613
Phone: (719) 526-7410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0202214400 Virginia
Pharmacy Service Providers / Pharmacist 183500000X PHA.0023069 Colorado
Pharmacy Service Providers / Pharmacist 183500000X RP0012244 West Virginia
Pharmacy Service Providers / Pharmacist 183500000X PS45154 Florida

Profile Details

NPI number 1477835742
LBN Legal business name Hack Gordon, Jamie Virginia
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated Oct 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477835742 NPPES
Colorado Other PHA.0023069 COLORADO BOARD OF PHARMACY
Colorado Other RP0012244 COLORADO BOARD OF PHARMACY
Colorado Other 0202214400 COLORADO BOARD OF PHARMACY
Colorado Other PS45154 COLORADO BOARD OF PHARMACY

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