Individual
JORDAN ROSS TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 817-5037
Mailing address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 817-5037
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
41052
TN
3336I0012X
Institutional Pharmacy
Primary
22271
AL
Other
Enumeration date
01/11/2022
Last updated
01/20/2026
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