Provider Demographics
NPI:1790721744
Name:GYORDA, ANDREW F JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:F
Last Name:GYORDA
Suffix:JR
Gender:M
Credentials:RPH
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Mailing Address - Street 1:PO BOX 1620
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049-1620
Mailing Address - Country:US
Mailing Address - Phone:603-465-7100
Mailing Address - Fax:603-465-7100
Practice Address - Street 1:6 ASH ST FL 1
Practice Address - Street 2:
Practice Address - City:HOLLIS
Practice Address - State:NH
Practice Address - Zip Code:03049-6548
Practice Address - Country:US
Practice Address - Phone:603-465-7100
Practice Address - Fax:603-465-2072
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2021-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH2767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3094809Medicaid