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Jan Ellen Jordan, RPH

Pharmacist in Lockport, NY. Individual provider (NPI-1).

NPI number1891027397
StatusActive
Last updated in NPPESFeb 8, 2010

Details

NPI
1891027397
Entity type
Individual (NPI-1)
Name
Jan Ellen Jordan
Credential
RPH
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2010
Last updated
Feb 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist02029695NYYes

Practice location

5827 S Transit Rd
Lockport, NY 14094-6317

Phone 716-439-4377

Mailing address

5827 S Transit Rd
Lockport, NY 14094-6317

Phone 716-439-4377

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