Individual
JORDAN MCKOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W HIGH ST, BRYAN, OH 43506-1543
(419) 636-6142
Mailing address
10593 STATE ROUTE 15, MONTPELIER, OH 43543-9274
(567) 239-5092
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09217168
OH
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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