Anthony L. Jordan Health Corporation
Pharmacy, Community/Retail Pharmacy in Rochester, NY. Organization (NPI-2).
NPI number1619758968
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1619758968
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthony L. Jordan Health Corporation
- Organization subpart
- Yes
- Enumeration date
- Oct 12, 2023
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Jordan Health Pharmacy (Doing Business As)
Practice location
82 Holland St Ste 100Rochester, NY 14605-2131
Phone 585-719-1932 · Fax 585-719-1958
Mailing address
214c Lake AveRochester, NY 14608-1208
Phone 585-784-5918
Authorized official
Linda L Clark
President/Ceo
5854232870
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