Individual
DR. JORDAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3606 N NEWTON ST, JASPER, IN 47546-9601
(812) 481-1513
Mailing address
3606 N NEWTON ST, JASPER, IN 47546-9601
(812) 481-1513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26028836A
IN
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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