Individual
DR. JORDAN L BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2801
Mailing address
PO BOX 1471, PORTLAND, ME 04104-1471
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHCY-04371
NH
183500000X
Pharmacist
Primary
PR46968
ME
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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