Individual
TAMMIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4429
(515) 643-8965
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-4429
(515) 643-8965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051291036
IL
183500000X
Pharmacist
Primary
22138
IA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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