Individual
DR. JORDAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4 LONG COVE CT, GREENSBORO, NC 27407-5843
(336) 878-6000
Mailing address
4 LONG COVE CT, GREENSBORO, NC 27407-5843
(336) 878-6000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14265
KS
1835P1200X
Pharmacotherapy Pharmacist
2009017116
MO
1835P1200X
Pharmacotherapy Pharmacist
20783
NC
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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