Individual
JORDAN ROBBELOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1106 VETERANS PKWY, CLARKSVILLE, IN 47129-2370
(812) 246-5405
Mailing address
1910 MARVY LN NE, PALMYRA, IN 47164-8334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027149A
IN
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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