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Individual
DR. JORDAN ASHLEY KUBAS
Active
Individual
DR. JORDAN ASHLEY KUBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP452468
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP452468
STATE BOARD OF PHARMACY LICENSE
PA
Enumeration date
02/21/2019
Last updated
02/21/2019
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