Marchetta Jordan

NPI #1013517754 in Granbury, Texas

Provider Information

NPI Number: 1013517754
Entity Type: Individual
Name: Marchetta Jordan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 30, 2020
Last Updated: Oct 30, 2020

Practice Location

Address: 735 E US HIGHWAY 377
City: Granbury
State: Texas
ZIP Code: 76048-2578
Phone: (817) 573-8864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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