Individual
DR. JORDAN LYNN BRAZEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6044
(870) 541-7601
Mailing address
4010 S MULBERRY ST, PINE BLUFF, AR 71603-7000
(870) 541-6044
(870) 541-7601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11871
AR
Other
Enumeration date
12/12/2011
Last updated
01/17/2014
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