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DR. JAMES CHARLES JORDAN PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1457354946

Individual Registrant:
DR. JAMES CHARLES JORDAN PHARMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6203 AGENCY LOOP ROAD  WELLPINIT, WA 99040 US
Tel: 509-258-4517  Fax: 509-258-4456

Contact information for business:
209 W REGINA AVE  SPOKANE, WA 99218-2522 US
Tel: 509-258-4517  Fax: 509-258-4456

Registration Information:
NPI: 1457354946
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
WAPH00044329
N183500000XPharmacy Service Providers
Pharmacist
IDP3958

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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