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Individual

JORDAN MARK WARREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1125 HIGHWAY 80, HAUGHTON, LA 71037-9430
(318) 949-8476
Mailing address
1125 HIGHWAY 80, HAUGHTON, LA 71037-9430

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PST.024964
LA

Other

Enumeration date
07/26/2021
Last updated
09/13/2023
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