Individual
DR. JORDAN CLARK SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 W CUMBERLAND ST, DUNN, NC 28334-4505
(910) 891-1930
(910) 891-1936
Mailing address
1501 W CUMBERLAND ST, DUNN, NC 28334-4505
(910) 891-1930
(910) 891-1936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26185
NC
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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