Individual
JORDAN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1530 LAFAYETTE AVE, SAINT LOUIS, MO 63104-3323
(314) 678-1039
Mailing address
1530 LAFAYETTE AVE, SAINT LOUIS, MO 63104-3323
(314) 678-1039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2019038199
MO
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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