Individual
JORDAN HERRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6040 S YALE AVE, TULSA, OK 74135-7412
(918) 494-4040
Mailing address
8106 S JUNIPER PL, BROKEN ARROW, OK 74011-6455
(918) 606-7257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18528
OK
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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