Individual
JORDAN CANANKAMP
Active
Individual
JORDAN CANANKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03237491
OH
183500000X
Pharmacist
RP0010235
WV
183500000X
Pharmacist
RPH-0016706
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0016706
OR
Other
Enumeration date
03/05/2018
Last updated
08/08/2018
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