Individual
JORDAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8745 S EMERSON AVE, INDIANAPOLIS, IN 46237-9400
(317) 884-3325
Mailing address
8745 S EMERSON AVE, INDIANAPOLIS, IN 46237-9400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025674A
IN
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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