Jordan Wade Edwards

NPI #1346841640 in Grapevine, Texas

Provider Information

NPI Number
1346841640
Entity Type
Individual
Name
Jordan Wade Edwards
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Nov 3, 2020
Last Updated
Nov 3, 2020

Practice Location

Address
1701 W STATE HIGHWAY 114
State
Texas
ZIP Code
76051-8652
Phone
(817) 416-0561

Specialties & Taxonomy Codes

Specialty
Pharmacist

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