David Jordan
Pharmacist in Lima, OH. Individual provider (NPI-1).
NPI number1508314733
StatusActive
Last updated in NPPESSep 16, 2016
Details
- NPI
- 1508314733
- Entity type
- Individual (NPI-1)
- Name
- David Jordan
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2016
- Last updated
- Sep 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 03135584 | OH | Yes |
Practice location
730 W Market StLima, OH 45801-4602
Phone 419-996-5192
Mailing address
2087 Brookhaven DrLima, OH 45805-1002
Phone 330-519-2192
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