Individual
JORDAN FREDERICK DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, ROOM F6/133 - PHARMACY OFFICE, MADISON, WI 53792-0001
(608) 263-1290
Mailing address
600 HIGHLAND AVE, ROOM F6/133 - PHARMACY OFFICE, MADISON, WI 53792-0001
(608) 263-1290
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15182-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15182-40
PHARMACIST
WI
Enumeration date
07/10/2008
Last updated
08/26/2008
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