DR. Jordan Carrillo

NPI #1457854622 in Salisbury, North Carolina

Provider Information

NPI Number: 1457854622
Entity Type: Individual
Name: DR. Jordan Carrillo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 14, 2018
Last Updated: Mar 14, 2018

Practice Location

Address: 640 JAKE ALEXANDER BLVD W
City: Salisbury
State: North Carolina
ZIP Code: 28147-1367
Phone: (704) 636-8852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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