Individual
JORDAN SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
103 GREENHILL BLVD NW, FORT PAYNE, AL 35967-3701
(256) 845-6640
Mailing address
781 COUNTY ROAD 312, DAWSON, AL 35963-4103
(256) 706-0060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22934
AL
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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