Individual
DR. JORDAN A AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
129 S. CHESTNUT STREET, KIMBALL, NE 69145
(308) 235-3936
(308) 235-4886
Mailing address
129 S. CHESTNUT STREET, KIMBALL, NE 69145
(308) 235-3936
(308) 235-4886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13717
NE
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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