Individual
DR. JORDAN JONATHAN MASWOSWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16736 CHAMPION FOREST DR, SPRING, TX 77379-7024
(832) 761-7817
(832) 761-7821
Mailing address
PO BOX 11556, SPRING, TX 77391-1556
(832) 761-7817
(832) 761-7821
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
18577
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26589
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156759601
—
TX
Enumeration date
04/10/2008
Last updated
03/06/2015
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