Individual
HALEY MARIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
310 PELHAM AVE SW, HUNTSVILLE, AL 35801-5016
(256) 534-2333
Mailing address
512 MARKET ST NE APT 9, DECATUR, AL 35601-1978
(256) 318-2794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17654
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17654
PHARMACIST LICENSE
AL
Enumeration date
05/24/2018
Last updated
05/24/2018
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