Individual
JORDAN LAGRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 E 16TH AVE, CORDELE, GA 31015-1538
(229) 273-5043
Mailing address
106 APPALOOSA WAY, CORDELE, GA 31015-9168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033541
GA
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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