Roquinethia A Jordan

NPI #1801557590 in La Porte, Texas

Provider Information

NPI Number
1801557590
Entity Type
Individual
Name
Roquinethia A Jordan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 4, 2022
Last Updated
Jan 4, 2022

Practice Location

Address
401 W FAIRMONT PKWY STE C
State
Texas
ZIP Code
77571-6314
Phone
(832) 208-6779

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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