Individual
DR. JORDAN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
605 WOOD AVE E, BIG STONE GAP, VA 24219-3021
(276) 523-4795
Mailing address
605 WOOD AVE E, BIG STONE GAP, VA 24219-3021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202214964
VA
183500000X
Pharmacist
40749
TN
Other
Enumeration date
09/13/2016
Last updated
11/17/2020
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