Individual
DR. JORDAN THOMAS DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 770-5375
Mailing address
25 DEVEREUX ST, #217, PROVIDENCE, RI 02909-5556
(317) 287-4152
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS52073
FL
183500000X
Pharmacist
RPH05362
RI
Other
Enumeration date
07/12/2013
Last updated
04/06/2015
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