DR. Jordan Richard Wanner, PHARMD

NPI #1063978260 in Canton, Ohio

Provider Information

NPI Number: 1063978260
Entity Type: Individual
Name: DR. Jordan Richard Wanner, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 13, 2019
Last Updated: Feb 13, 2019

Practice Location

Address: 4615 MIDDLEBRANCH AVE NE
City: Canton
State: Ohio
ZIP Code: 44705-2960
Phone: (330) 705-7107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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