Individual
JORDAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
61535 S HIGHWAY 97, BEND, OR 97702-2154
(541) 385-6658
(541) 233-9351
Mailing address
61535 S HIGHWAY 97, BEND, OR 97702-2154
(541) 385-6658
(541) 233-9351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019109
OR
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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