Matthew Jordan

NPI #1578971453 in Liberty Lake, Washington

Provider Information

NPI Number
1578971453
Entity Type
Individual
Name
Matthew Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jul 23, 2014
Last Updated
Jul 23, 2014

Practice Location

Address
1502 N LIBERTY LAKE RD
ZIP Code
99019-8631
Phone
(509) 570-0485

Specialties & Taxonomy Codes

Specialty
Pharmacist

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