DR. William Jordan, PHARMD

NPI #1275940462 in Chubbuck, Idaho

Provider Information

NPI Number: 1275940462
Entity Type: Individual
Name: DR. William Jordan, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 19, 2014
Last Updated: Jul 19, 2014

Practice Location

Address: 4240 YELLOWSTONE AVE
City: Chubbuck
State: Idaho
ZIP Code: 83202-2420
Phone: (208) 237-5091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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