Individual
MR. CHARLES ALLEN JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9948 AIRPORT BLVD, MOBILE, AL 36608-9518
(251) 639-1788
(251) 639-1844
Mailing address
3920 LEROY STEVENS ROAD, MOBILE, AL 36619-4409
(251) 633-6191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10000
AL
183500000X
Pharmacist
18386
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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