Individual
DR. JORDIN MILLWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 282-3387
Mailing address
465 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 241-3627
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
P8363
ID
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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