Individual
DR. ROBERT MARK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
204 HIGHWAY 80 E, CLINTON, MS 39056-4716
(601) 926-1179
Mailing address
PO BOX 398, FLORA, MS 39071-0398
(601) 665-2299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E09972
MS
1835P2201X
Ambulatory Care Pharmacist
E-09972
MS
Other
Enumeration date
12/13/2011
Last updated
03/23/2023
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