DR. Jordan Lynn Brazeal, PHARM.D.

NPI #1568730091 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1568730091
Entity Type: Individual
Name: DR. Jordan Lynn Brazeal, PHARM.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM.D.
Enumeration Date: Dec 12, 2011
Last Updated: Jan 17, 2014

Practice Location

Address: 4010 S MULBERRY ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7000
Phone: (870) 541-6044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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