Dr. Jordan Russell Slump, PharmD
Pharmacist in South Sioux City, NE. Individual provider (NPI-1).
NPI number1235802448
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1235802448
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jordan Russell Slump
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2021
- Certification date
- Jul 26, 2021
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 17178 | NE | Yes |
| 183500000X | Pharmacist | 24358 | IA |
Practice location
2501 Cornhusker PlazaSouth Sioux City, NE 68776
Phone 402-494-3021
Mailing address
2501 Cornhusker PlazaSouth Sioux City, NE 68776
Phone 402-494-3021
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All 15 Pharmacist providers in South Sioux City · All 572 providers in South Sioux City
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