Individual
JORDAN LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4500 S LANCASTER RD, PHARMACY DEPARTMENT, DALLAS, TX 75216-7167
(806) 290-8575
Mailing address
4500 S LANCASTER RD, PHARMACY DEPARTMENT, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
56596
TX
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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