Individual
DR. CHARLES R JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
13111 W ALAMEDA PKWY, LAKEWOOD, CO 80228-3108
(303) 980-9346
Mailing address
7930 S POPLAR WAY, CENTENNIAL, CO 80112-3117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18360
CO
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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