Individual
DR. RODNEY M JORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-3476
Mailing address
343 E 1500 N, LAYTON, UT 84041-2970
(801) 682-8070
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12025
OK
1835P1200X
Pharmacotherapy Pharmacist
12025
OK
Other
Enumeration date
04/05/2006
Last updated
04/25/2018
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