Individual
JORDYN VERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1587 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4454
(321) 459-1647
Mailing address
2547 KEFAUVER ST, MELBOURNE, FL 32935-2715
(321) 872-5906
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS64021
FL
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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