Individual
DR. JORDAN DAVID RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5512
(801) 789-4997
Mailing address
4045 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5512
(801) 789-4997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7720480-1701
UT
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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