Individual
JORDAN T SAMORAJSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13775 W CRAWFORD DR, NEW BERLIN, WI 53151-5311
(414) 335-7365
Mailing address
13775 W CRAWFORD DR, NEW BERLIN, WI 53151-5311
(414) 335-7365
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21469
WI
Other
Enumeration date
10/10/2022
Last updated
09/03/2023
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