Jordan Robertson
Pharmacist in Cuba, MO. Individual provider (NPI-1).
NPI number1366043846
StatusActive
Last updated in NPPESNov 3, 2020
Details
- NPI
- 1366043846
- Entity type
- Individual (NPI-1)
- Name
- Jordan Robertson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2020
- Certification date
- Nov 3, 2020
- Last updated
- Nov 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2015025631 | MO | Yes |
Practice location
100 Ozark DrCuba, MO 65453-1664
Phone 573-885-2515
Mailing address
3660 Highway TRosebud, MO 63091-1803
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Other Pharmacist providers in Cuba, MO
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