Individual
JORDAN HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41198
TN
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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