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Individual
DR. JORDAN JONATHAN MASWOSWE
Active
Individual
DR. JORDAN JONATHAN MASWOSWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
18577
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26589
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156759601
—
TX
Enumeration date
04/10/2008
Last updated
03/06/2015
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