Individual
JORDAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3250 S EAGLE RD, MERIDIAN, ID 83642-7018
(208) 898-2543
Mailing address
3250 S EAGLE RD, MERIDIAN, ID 83642-7018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8377
ID
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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