Individual
JORDAN LEININGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 S OAK ST, NEVADA, MO 64772-3436
(471) 667-7802
Mailing address
105 S OAK ST, NEVADA, MO 64772-3436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014027813
MO
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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