Individual
JORDAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(833) 833-3333
Mailing address
91-229 LOULULELO PL, KAPOLEI, HI 96707-3108
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH-5027
HI
183500000X
Pharmacist
Primary
S025967
AZ
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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