Individual
DR. JACOB NATHANIEL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
16455 E MAUD RD, PALMER, AK 99645-7507
(541) 817-2278
Mailing address
16455 E MAUD RD, PALMER, AK 99645-7507
(541) 817-2278
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
195182
AK
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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