Individual
DR. JORDAN B ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1745 W BROADWAY ST, IDAHO FALLS, ID 83402-3045
(208) 524-4480
(208) 522-6101
Mailing address
350 MOONLITE DR APT 2, IDAHO FALLS, ID 83402-2378
(208) 552-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5999
ID
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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