Individual
MR. MICHAEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1485 HARRISON BLVD, OGDEN, UT 84404-6093
(801) 621-0211
(801) 394-6370
Mailing address
1485 HARRISON BLVD, OGDEN, UT 84404-6093
(801) 621-0211
(801) 394-6370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8287265-1701
UT
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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