DR. John Michael Jordan, R.PH., PH. D.

NPI #1932332525 in Peoria, Illinois

Provider Information

NPI Number: 1932332525
Entity Type: Individual
Name: DR. John Michael Jordan, R.PH., PH. D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH., PH. D.
Enumeration Date: Aug 28, 2009
Last Updated: Aug 28, 2009

Practice Location

Address: 221 NE GLEN OAK AVE
Address 2: 3C INPATIENT PHARMACY
City: Peoria
State: Illinois
ZIP Code: 61636-0001
Phone: (309) 672-4968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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