Individual
JORDAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(901) 461-2216
Mailing address
119 HARBOR RIDGE LN S, MEMPHIS, TN 38103-0843
(901) 461-2216
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
21940
AL
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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