Individual
JORDAN MCKENZIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4211 S 3RD ST, LOUISVILLE, KY 40214-1619
(502) 363-3111
Mailing address
103 RAMSGATE GARDENS CT APT 103, LOUISVILLE, KY 40207-3568
(502) 645-4019
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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