Individual
JORDIN LEE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6717 RITCHIE HWY, GLEN BURNIE, MD 21061-2318
(410) 487-0039
Mailing address
6717 RITCHIE HWY, GLEN BURNIE, MD 21061-2318
(410) 487-0039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25108
MD
Other
Enumeration date
12/27/2017
Last updated
12/14/2020
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